NPI 1114761095
June L Bacon
Practice location
- Address
- 1055 South St, Wheatland, WY 82201-2949
- Phone
- (970) 590-3640
- Mailing address
- 281 Bellis Rd, Wheatland, WY 82201-8945
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1114761095
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Jun 2024
- Record last updated
- 24 Jun 2024
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.