Individual
RIKKI S VONDENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 7TH ST, ROCK SPRINGS, WY 82901-5309
(307) 922-3499
Mailing address
915 7TH ST, ROCK SPRINGS, WY 82901-5309
(307) 922-3499
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149618200
—
WY
Enumeration date
04/28/2020
Last updated
04/28/2020
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