JESUS TACHIQUIN-FRIAS

LARAMIE, WY
NPI1104104777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: WY  25440)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2011-07-29
Last Update Date2012-02-01
Business Address
-- JESUS TACHIQUIN-FRIAS RN
1263 N 15TH ST
LARAMIE, WY 82072-2343
Phone number: 307-745-8915
Mailing Address
-- JESUS TACHIQUIN-FRIAS RN
1263 N 15TH ST
LARAMIE, WY 82072-2343
Phone number: 307-745-8915
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