Abundantly Fruitful

NPI #1528855194 in Cheyenne, Wyoming

Provider Information

NPI Number: 1528855194
Entity Type: Organization
Organization Name: Abundantly Fruitful
Primary Specialty: Clinic/Center
Enumeration Date: Apr 24, 2025
Last Updated: Apr 24, 2025

Practice Location

Address: 1621 CENTRAL AVE STE 8525
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4531
Phone: (626) 716-7390

Authorized Official

Name: LA VALLE FOSTER
Title: CEO
Phone: (626) 716-7390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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