Organization
ONE22 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY GOMEZ (PROGRAM MANAGER)
(307) 201-8193
Entity
Organization
Contact information
Practice address
180 S WILLOW ST, JACKSON, WY 83001-8337
(307) 739-4500
(307) 739-4505
Mailing address
PO BOX 1232, JACKSON, WY 83001-1232
(307) 739-4500
(307) 739-4505
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123033600
—
WY
Enumeration date
05/14/2007
Last updated
03/08/2024
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