Dj Lyles

NPI #1992166458 in Casper, Wyoming

Provider Information

NPI Number
1992166458
Entity Type
Individual
Name
Dj Lyles
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Enumeration Date
Mar 11, 2016
Last Updated
Mar 11, 2016

Practice Location

Address
2119 S JEFFERSON ST
City
Casper
State
Wyoming
ZIP Code
82601-5508
Phone
(307) 797-3302

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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