Provider Demographics
NPI:1932875119
Name:JAUREGUI, ROBYN LEIGH
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:LEIGH
Last Name:JAUREGUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 DOWNEY ST APT 11
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-1769
Mailing Address - Country:US
Mailing Address - Phone:307-871-7245
Mailing Address - Fax:
Practice Address - Street 1:702 DOWNEY ST APT 11
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82072-1769
Practice Address - Country:US
Practice Address - Phone:307-871-7245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator