Souly Unique LLC
NPI #1194175133 in Rock Springs, Wyoming
Provider Information
- NPI Number
- 1194175133
- Entity Type
- Organization
- Organization Name
- Souly Unique LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 21, 2016
- Last Updated
- Jun 21, 2016
Practice Location
- Address
- 3913 PEREGRINE ST
- City
- Rock Springs
- State
- Wyoming
- ZIP Code
- 82901-3490
- Phone
- (307) 371-2479
Authorized Official
- Name
- MRS. ANNA CHYTKA
- Title
- OWNER
- Phone
- (307) 371-2479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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