Individual
ROSA ANGELICA AVALOS DE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 352-6680
Mailing address
1124 COLLEGE DRIVE, ROCK SPRINGS, WY 82901
(307) 352-6680
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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