Individual
TYLER JAMES ESP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4414 E 12TH ST APT 4, CHEYENNE, WY 82001-6794
(307) 421-4993
Mailing address
4414 E 12TH ST APT 4, CHEYENNE, WY 82001-6794
(307) 421-4993
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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