NPI 1356632087
Candice Rae Gronberg
Practice location
- Address
- 4 Roberts Road, Lander, WY 82520-1401
- Phone
- (307) 332-9122
- Fax
- (307) 332-9122
- Mailing address
- PO Box 1401 4 Roberts Road, Lander, WY 82520-1401
Registered specialties
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
Registry record
- NPI
- 1356632087
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Apr 2011
- Record last updated
- 28 Apr 2011
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.