Individual
GLORIA PINA MOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 W MAIN ST, RIVERTON, WY 82501-3144
(415) 309-4685
Mailing address
2205 W MAIN ST, RIVERTON, WY 82501-3144
(415) 309-4685
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
172A00000X
Driver
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2024
Last updated
04/23/2024
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