IndividualActive
Jacob Andesron
NPI 1528668407 · Case Management Agency · Hudson, WY
Provider details
- NPI number
- 1528668407
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
351 Old Highway 177 1/2
Hudson, WY 82515-5094
Phone: (307) 330-8331
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 411
Hudson, WY 82515-0411
Registry dates
- Enumerated
- 2020-10-29
- Last updated
- 2020-10-29
- Certified
- 2020-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.