Jay Staley

NPI #1265214688 in Evanston, Wyoming

Provider Information

NPI Number
1265214688
Entity Type
Individual
Name
Jay Staley
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Oct 19, 2023
Last Updated
Oct 19, 2023

Practice Location

Address
350 CITY VIEW DR STE 206
State
Wyoming
ZIP Code
82930-5326
Phone
(307) 789-7915

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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