MS. Suze Marie Kanack

NPI #1942493879 in Riverton, Wyoming

Provider Information

NPI Number: 1942493879
Entity Type: Individual
Name: MS. Suze Marie Kanack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care
Enumeration Date: Aug 23, 2007
Last Updated: Aug 23, 2007

Practice Location

Address: 207 W MADISON AVE
City: Riverton
State: Wyoming
ZIP Code: 82501-4247
Phone: (307) 857-5740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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