Individual
MRS. KATHERINE BETH MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL SCIENCE, B.S.
Contact information
Practice address
331 HUNTERS WAY, APT A, CHEYENNE, WY 82007-2380
(307) 214-4688
Mailing address
331 HUNTERS WAY, APT A, CHEYENNE, WY 82007-2380
(307) 214-4688
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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