Individual
CHRISTINA MARLENE THONACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1757 W C ST, TORRINGTON, WY 82240-3215
(307) 316-2344
Mailing address
1757 W C ST, TORRINGTON, WY 82240-3215
(307) 316-2344
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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