CURTIS KENTON SOUTHERN

CODY, WY
NPI1275246761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: WY  267854106619)
Enumeration Date2022-12-30
Last Update Date2022-12-30
Business Address
CURTIS KENTON SOUTHERN
7 CANYON LAKE DR
CODY, WY 82414-7890
Phone number: 706-330-4538
Mailing Address
CURTIS KENTON SOUTHERN
7 CANYON LAKE DR
CODY, WY 82414-7890
Phone number: 706-330-4538