Individual
BRE ANN BRIT REINBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WALTON AVE, EVANSTON, WY 82930-3460
(307) 679-8638
Mailing address
800 WALTON AVE, EVANSTON, WY 82930-3460
(307) 679-8638
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
WY
Enumeration date
10/01/2020
Last updated
10/01/2020
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