DESIRAE CORNEJO

Case Manager/Care Coordinator

Active Individual
NPI: 1063790640

Practice Address

2 HICKERSON ST
Lander, WY 82520

Phone: (307) 332-7415

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1063790640 is the National Provider Identifier for DESIRAE CORNEJO, a Case Manager/Care Coordinator provider located in Lander, WY. This NPI was enumerated on July 29, 2011.
DESIRAE CORNEJO practices at 2 HICKERSON ST, Lander, WY 82520.

Quick Facts

NPI
1063790640
Type
Individual
Enumerated
Jul 29, 2011
Last Updated
Jul 29, 2011

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