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Organization
SELAH MEDICAL, LLC
Active
Organization
SELAH MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE MARIE MARTINO FNP-C (OWNER)
(307) 640-0273
Entity
Organization
Contact information
Practice address
920 CREIGHTON ST, CHEYENNE, WY 82009-3229
(307) 640-0273
(307) 514-0231
Mailing address
920 CREIGHTON ST, CHEYENNE, WY 82009-3229
(307) 640-0273
(307) 514-0231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
03/11/2024
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