Individual
RAENA KARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 OPAL LN, POWELL, WY 82435-9244
(307) 254-0310
Mailing address
1054 VALI RD, POWELL, WY 82435-9259
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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