Most Relevant Information
Provider Data
| NPI Number: | 1003428079 |
| Provider Name: | JOSHUA WARD |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/20/2020 |
| Last Updated: | 08/20/2020 |
Provider Practice Location
4514 LARAMIE ST
CHEYENNE
WY
820012154
Practice Location Phone/Fax
| Phone: | 3076388182 |
| Fax: |
Provider Mailing Location
510 W 29TH ST
CHEYENNE
WY
820012760
Provider Mailing Phone/Fax
| Phone: | 3074264728 |
| Fax: |