Individual
MR. STEVEN WAYNE AMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 JEFFERSON STREET, AFTON, WY 83110-1547
(307) 220-7629
Mailing address
519 JEFFERSON STREET, P.O. BOX 1547, AFTON, WY 83110-1547
(307) 220-7629
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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