Mathew Redge Flake

NPI #1497094262 in Evanston, Wyoming

Provider Information

NPI Number
1497094262
Entity Type
Individual
Name
Mathew Redge Flake
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Feb 13, 2013
Last Updated
Feb 13, 2013

Practice Location

Address
100 BEAR RIVER DR
State
Wyoming
ZIP Code
82930-2804
Phone
(307) 789-0664

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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