TANJA LEE BALLANCE

ROCK SPRINGS, WY
NPI1548997562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2022-08-01
Last Update Date2022-08-01
Business Address
TANJA LEE BALLANCE
1040 MAPLE WAY
ROCK SPRINGS, WY 82901-4108
Phone number: 307-389-0784
Mailing Address
TANJA LEE BALLANCE
1040 MAPLE WAY
ROCK SPRINGS, WY 82901-4108
Phone number: 307-389-0784