| NPI | 1578904348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNA LEA KILJANDER President 307-660-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WY 21791) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |