KARIS AMELIA PRUSAK

SHERIDAN, WY
NPI1205202181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY  56)
Enumeration Date2015-08-14
Last Update Date2015-08-14
Business Address
Mrs. KARIS AMELIA PRUSAK ATC, LAT
135 N GOULD ST
SHERIDAN, WY 82801-3927
Phone number: 307-674-1634
Mailing Address
Mrs. KARIS AMELIA PRUSAK ATC, LAT
135 N GOULD ST
SHERIDAN, WY 82801-3927
Phone number: 307-674-1634