Individual
SALLY SUZANNE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Mailing address
2288 S MCKINLEY ST APT A, CASPER, WY 82601-5537
(307) 237-9583
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
203
WY
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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