Individual
KRYSTAL ROSE RE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 S 5TH ST, WORLAND, WY 82401-3809
(307) 388-9728
Mailing address
609 S 5TH ST, WORLAND, WY 82401-3809
(307) 388-9728
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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