Individual
KINTA MARIA BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
721 W MAPLE ST, RAWLINS, WY 82301-5447
(307) 324-7156
Mailing address
721 W MAPLE ST, RAWLINS, WY 82301-5447
(307) 324-7156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
06/27/2017
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