JACOB NELSON

LARAMIE, WY
NPI1154800753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
JACOB NELSON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
JACOB NELSON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997