Individual
JAN MARIE ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
640 E BROADWAY, JACKSON, WY 83001
(307) 732-1161
(307) 732-1191
Mailing address
PO BOX 1868, JACKSON, WY 83001-1868
(307) 732-1161
(307) 732-1191
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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