CANDACE MARIE STIDOLPH

LARAMIE, WY
NPI1699983460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WY  21160.0885)
Enumeration Date2007-05-17
Last Update Date2008-04-11
Business Address
Mrs. CANDACE MARIE STIDOLPH NP
413 S 21ST ST
LARAMIE, WY 82070-4323
Phone number: 307-745-5364
Mailing Address
Mrs. CANDACE MARIE STIDOLPH NP
413 S 21ST ST
LARAMIE, WY 82070-4323
Phone number: 307-745-5364