Individual
MRS. CHRISTINE JENKS DRIESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSB
Contact information
Practice address
107 MOUNTAIN VIEW DRIVE, BONDURANT, WY 82922
(307) 859-8530
Mailing address
107 MOUNTAIN VIEW DRIVE, PO BOX 344, BONDURANT, WY 82922
(307) 859-8530
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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