PENNIE ROUSSIN

EVANSTON, WY
NPI1497147615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2015-02-25
Last Update Date2015-02-25
Business Address
-- PENNIE ROUSSIN
1575 STATE HIGHWAY 150 S SUITE J
EVANSTON, WY 82930-5349
Phone number: 307-789-7915
Mailing Address
-- PENNIE ROUSSIN
1575 STATE HIGHWAY 150 S SUITE J
EVANSTON, WY 82930-5349
Phone number: