Organization
CAROLINE ESTAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE CROFT ESTAY (PROVIDER)
(307) 203-0555
Entity
Organization
Contact information
Practice address
436 FOREST VIEW DR, DRIGGS, ID 83422-5255
(307) 203-0555
Mailing address
PO BOX 9253, JACKSON, WY 83002-9253
(307) 203-0555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
12/18/2015
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