Most Relevant Information
Provider Data
NPI Number: | 1003287095 |
Provider Name: | SUZANNA DENISON |
Entity Type: | Individual |
Taxonomy Code: | 172V00000X |
Specialty: | Community Health Worker |
License Number: |
Most Important Dates
Enumeration Date: | 10/15/2015 |
Last Updated: | 10/15/2015 |
Provider Practice Location
1263 N 15TH ST
LARAMIE
WY
820722343
Practice Location Phone/Fax
Phone: | 3077458915 |
Fax: |
Provider Mailing Location
1263 N 15TH ST
LARAMIE
WY
820722343
Provider Mailing Phone/Fax
Phone: | 3077458915 |
Fax: |