Individual
MISS KRISTIN ERKILETIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3817 CRIBBON AVE, APT. B, CHEYENNE, WY 82001-1083
(314) 229-1170
Mailing address
3817 CRIBBON AVE, APT. B, CHEYENNE, WY 82001-1083
(314) 229-1170
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
109457-663
WY
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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