DONOVAN THOMALLA

LARAMIE, WY
NPI1205469079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2020-02-19
Last Update Date2020-02-19
Business Address
DONOVAN THOMALLA
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
DONOVAN THOMALLA
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997