JASON WALES

LARAMIE, WY
NPI1740738277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-09-13
Last Update Date2016-09-13
Business Address
-- JASON WALES
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
-- JASON WALES
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997