KELLY LYNNE PRETTY WEASEL

FORT WASHAKIE, WY
NPI1770898140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QP0904X Clinic/Center, Public Health, Federal
Enumeration Date2010-08-10
Last Update Date2010-08-10
Business Address
Miss KELLY LYNNE PRETTY WEASEL RN
29 BLACKCOLE DR
FORT WASHAKIE, WY 82514
Phone number: 307-332-7300
Mailing Address
Miss KELLY LYNNE PRETTY WEASEL RN
PO BOX 128
FORT WASHAKIE, WY 82514-0128
Phone number: 307-332-7300