Clear Image Laser Studio

NPI #1992143648 in Sheridan, Wyoming

Provider Information

NPI Number
1992143648
Entity Type
Organization
Organization Name
Clear Image Laser Studio
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jun 4, 2013
Last Updated
Jun 4, 2013

Practice Location

Address
532 VAL VISTA ST
Address 2
SUITE 104
State
Wyoming
ZIP Code
82801-3655
Phone
(307) 655-8289

Authorized Official

Name
BRENDA SUE MOSHER, FNP
Title
FNP
Phone
(307) 259-2434

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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