IDEL ENRIQUEZ

JACKSON, WY
NPI1902612070
Former NameIDELFONSO ENRIQUEZ CARVAJAL
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-12-04
Last Update Date2024-12-04
Business Address
IDEL ENRIQUEZ
420 W PEARL AVE FL 2
JACKSON, WY 83001-8409
Phone number: 307-734-6040
Mailing Address
IDEL ENRIQUEZ
6930 COLUMBIA RIVER RD
CASPER, WY 82604-5462
Phone number: 307-462-9802
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