NPI 1619667003

Cynthia Park

Practitioner Personal Care Attendant Cheyenne, WY

Practice location

Address: Jerrod Guerney 4406 Springer CT, Cheyenne, WY 82001
Phone: (307) 287-6423
Mailing address: 1207 Melody Ln, Cheyenne, WY 82007-3696

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1619667003
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2023
Record last updated: 10 May 2023

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.