Individual
REBECCA TINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 LANE 12, LOVELL, WY 82431-9555
(307) 548-6543
Mailing address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 548-6543
(307) 347-6166
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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