DIVA BERMUDEZ
Individual Provider (NPI-1)
Active
Case Manager/Care Coordinator
Provider Information
- NPI Number
1699290528- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1101 CENTER ST, EVANSTON, WY, 829303383
- Phone
- (307) 789-0241
Specialties & Taxonomies
Case Manager/Care Coordinator
Primary
All Addresses
MAILING
100 HARRISON DR UNIT 1011
EVANSTON, WY, 829310658