Johnathon Daniel

NPI #1306356563 in Cody, Wyoming

Provider Information

NPI Number
1306356563
Entity Type
Individual
Name
Johnathon Daniel
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 2, 2017
Last Updated
Oct 2, 2017

Practice Location

Address
2538 BIG HORN AVE
City
Cody
State
Wyoming
ZIP Code
82414-9299
Phone
(307) 587-2197

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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