NPI 1093198095
Amy Michelle Mendoza
Practice location
- Address
- 905 N Gurley Ave, Gillette, WY 82716-2109
- Phone
- (307) 686-0669
- Fax
- (307) 686-2121
- Mailing address
- 214 E Laramie St, Gillette, WY 82716-2826
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1093198095
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Jul 2015
- Record last updated
- 8 Jul 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.