Individual
CHRISTINA ELIZE AQUINO JARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 S CONWELL ST, CASPER, WY 82601-3921
(307) 265-8300
(307) 233-8230
Mailing address
570 GRANITE PEAK DR APT 302, CASPER, WY 82609-4533
(201) 894-3000
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
13022A
WY
Other
Enumeration date
08/23/2016
Last updated
09/16/2020
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