SHAMAINE MANGRAM

CHEYENNE, WY
NPI1912503491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2020-12-09
Last Update Date2021-01-08
Business Address
Ms. SHAMAINE MANGRAM
4025 RAWLINS ST
CHEYENNE, WY 82001-1900
Phone number: 307-426-4797
Mailing Address
Ms. SHAMAINE MANGRAM
4025 RAWLINS ST
CHEYENNE, WY 82001-1900
Phone number: 307-426-4797