JARED M. WHITE BULL

RIVERTON, WY
NPI1780162958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-07-31
Last Update Date2018-07-31
Business Address
JARED M. WHITE BULL
10269 HIGHWAY 789
RIVERTON, WY 82501-8829
Phone number: 307-857-9468
Mailing Address
JARED M. WHITE BULL
PO BOX 1989
RIVERTON, WY 82501-0240
Phone number: 307-857-9468