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Victoria Leola Green
Respite Care in Sheridan, Wyoming
NPI 1366586802

Victoria Leola Green is a Respite Care based in Sheridan, WY. Victoria Leola Green practices in Sheridan, WY. The NPI Number for Victoria Leola Green is 1366586802 and holds a License No. (Wyoming).

The current practice location address for Victoria Leola Green is 655 E Burkitt St, Sheridan, WY and can be reached out via phone at 307-674-6343.

Location: 655 E Burkitt St, Sheridan, WY, 82801-4401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366586802
Provider Name
Victoria Leola Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
655 E Burkitt St, Sheridan, WY, 82801-4401
Phone Number
307-674-6343
Fax Number
Provider Enumeration Date
02/17/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
655 E Burkitt St
City
Sheridan
State
Wyoming
Zip
82801-4401
Phone Number
307-674-6343
Fax Number
person
Provider Business Mailing Address Details
Address
655 E Burkitt St
City
Sheridan
State
Wyoming
Zip
82801-4401
Phone Number
307-674-6343
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
(Wyoming)
Definition
Definition to come.
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