Jenniffer Blaylock

NPI #1104201243 in Laramie, Wyoming

Provider Information

NPI Number: 1104201243
Entity Type: Individual
Name: Jenniffer Blaylock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jul 29, 2015
Last Updated: Jun 22, 2023

Practice Location

Address: 1263 N 15TH ST
City: Laramie
State: Wyoming
ZIP Code: 82072-2343
Phone: (307) 745-8915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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