MARK DAVID WHITE

LARAMIE, WY
NPI1598135170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2015-09-25
Last Update Date2015-09-25
Business Address
-- MARK DAVID WHITE
4989 NORTH 3RD STREET
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
-- MARK DAVID WHITE
4989 NORTH 3RD STREET
LARAMIE, WY 82072-9548
Phone number: 307-745-8997