Individual
TONI RAE VAVRA-WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 E 16TH ST, CHEYENNE, WY 82001-5307
(307) 286-3777
Mailing address
2407 E 16TH ST, CHEYENNE, WY 82001-5307
(307) 286-3777
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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