DESTINEE AUTUMN JARA

CHEYENNE, WY
NPI1396307955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-07-03
Last Update Date2020-12-31
Business Address
DESTINEE AUTUMN JARA
2310 E 8TH ST
CHEYENNE, WY 82001-5256
Phone number: 844-895-7325
Mailing Address
DESTINEE AUTUMN JARA
510 W 29TH ST
CHEYENNE, WY 82001-2760
Phone number: 844-895-7325