Pennie Roussin

NPI #1497147615 in Evanston, Wyoming

Provider Information

NPI Number
1497147615
Entity Type
Individual
Name
Pennie Roussin
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Enumeration Date
Feb 25, 2015
Last Updated
Feb 25, 2015

Practice Location

Address
1575 STATE HIGHWAY 150 S
Address 2
SUITE J
State
Wyoming
ZIP Code
82930-5349
Phone
(307) 789-7915

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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