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Individual

JENNIFER RIEKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1201 E 3RD ST, CASPER, WY 82601-2932
(307) 577-2950
Mailing address
1610 S WALNUT ST, CASPER, WY 82601-4185
(530) 391-7440

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52537
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52537
RN LICENSE
WY
Enumeration date
09/12/2024
Last updated
09/12/2024
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