SAMUEL CARLSON

CHEYENNE, WY
NPI1205328960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-05-30
Last Update Date2018-05-30
Business Address
SAMUEL CARLSON
2310 E 8TH ST
CHEYENNE, WY 82001-5256
Phone number: 307-632-6433
Mailing Address
SAMUEL CARLSON
510 W 29TH ST
CHEYENNE, WY 82001-2760
Phone number: 307-426-4728