ERIN E FORTIN

CHEYENNE, WY
NPI1124319223
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2011-04-22
Last Update Date2011-04-22
Business Address
-- ERIN E FORTIN
4514 LARAMIE ST # B
CHEYENNE, WY 82001-2154
Phone number: 307-638-8182
Mailing Address
-- ERIN E FORTIN
4514 LARAMIE ST # B
CHEYENNE, WY 82001-2154
Phone number: 307-638-8182