ELLEN LARICCIA

CHEYENNE, WY
NPI1700088499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WD0400X Registered Nurse, Diabetes Educator
(Licence: WY  24488)
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
-- ELLEN LARICCIA RN, CDE
214 E 23RD ST
CHEYENNE, WY 82001-3748
Phone number: 307-633-7982
Mailing Address
-- ELLEN LARICCIA RN, CDE
7318 TADA LANE
CHEYENNE, WY 82009-1832
Phone number: 307-633-7982
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