Individual
AUNKIA CHRISTINA FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 SHADY LN, BOX 45, EVANSVILLE, WY 82636
(307) 259-6093
(307) 237-3311
Mailing address
PO BOX 45, 8101 SHADY LN, EVANSVILLE, WY 82636
(307) 259-6093
(307) 237-3311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133877300
—
WY
Enumeration date
02/13/2013
Last updated
02/13/2013
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