Individual
JUAN FRANCISCO COY TENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4155 E HARRY ST, WICHITA, KS 67218-3725
(316) 831-0330
(316) 831-9569
Mailing address
PO BOX 134, NORTH NEWTON, KS 67117-0134
(316) 217-3226
(316) 831-9569
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11813
KS
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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