JUSTIN PENDLETON

LARAMIE, WY
NPI1174867246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2012-11-15
Last Update Date2013-01-14
Business Address
-- JUSTIN PENDLETON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
-- JUSTIN PENDLETON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997