SUZE MARIE KANACK

RIVERTON, WY
NPI1942493879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy385H00000X Respite Care
(Licence: WY  108837800)
Enumeration Date2007-08-23
Last Update Date2007-08-23
Business Address
Ms. SUZE MARIE KANACK
207 W MADISON AVE
RIVERTON, WY 82501-4247
Phone number: 307-857-5740
Mailing Address
Ms. SUZE MARIE KANACK
207 W MADISON AVE
RIVERTON, WY 82501-4247
Phone number: 307-857-5740