MIKELLA RENEE LANE

CHEYENNE, WY
NPI1316325467
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies251C00000X Day Training, Developmentally Disabled Services
Enumeration Date2015-05-09
Last Update Date2015-08-04
Business Address
-- MIKELLA RENEE LANE
5802 TOWNSEND PL
CHEYENNE, WY 82009-4143
Phone number: 307-256-6933
Mailing Address
-- MIKELLA RENEE LANE
5802 TOWNSEND PL
CHEYENNE, WY 82009-4143
Phone number: 307-256-6933