NPI 1104639418
Mekilah Marie Alt
Practice location
- Address
- 539 S 4th St APT 3, Douglas, WY 82633-2667
- Phone
- (307) 351-0771
- Mailing address
- 1841 Madora Ave, Douglas, WY 82633-3057
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1104639418
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Jan 2025
- Record last updated
- 30 Jan 2025
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.