Individual
CHRISTINE HOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E BROADWAY AVE STE 220, JACKSON, WY 83001-8640
(307) 739-4910
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-4910
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
29409
WY
163WP2201X
Ambulatory Care Registered Nurse
Primary
29409
WY
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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