Individual
ERENA HINTSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1909 VISTA DR, LARAMIE, WY 82070-5599
(307) 745-8851
Mailing address
1909 VISTA DR, LARAMIE, WY 82070-5599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT775
WY
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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