JASON LEE SONDGEROTH

LARAMIE, WY
NPI1639698608
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WY  34334.1654)
Enumeration Date2017-09-11
Last Update Date2017-09-11
Business Address
JASON LEE SONDGEROTH
255 N 30TH ST
LARAMIE, WY 82072-5140
Phone number: 307-742-2141
Mailing Address
JASON LEE SONDGEROTH
5418 SUMMIT DR
LARAMIE, WY 82070-5737
Phone number: