SHAWNA MICHELE WISDOM

RIVERTON, WY
NPI1114753845
Former NameSHAWNA MICHELE PAGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-09-10
Last Update Date2024-09-10
Business Address
SHAWNA MICHELE WISDOM
1110 MAJOR AVE
RIVERTON, WY 82501-2342
Phone number: 307-856-6587
Mailing Address
SHAWNA MICHELE WISDOM
146 LEFT HAND DITCH RD
RIVERTON, WY 82501-9135
Phone number: 307-855-9219