Most Relevant Information
Provider Data
| NPI Number: | 1003285412 |
| Provider Name: | COREY DEAN CATTLES |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/16/2015 |
| Last Updated: | 09/16/2015 |
Provider Practice Location
4989 NORTH 3RD STREET
LARAMIE
WY
820729548
Practice Location Phone/Fax
| Phone: | 3077458997 |
| Fax: | 3077426146 |
Provider Mailing Location
4989 NORTH 3RD STREET
LARAMIE
WY
820729548
Provider Mailing Phone/Fax
| Phone: | 3077458997 |
| Fax: | 3077426146 |