Mackenzie Riebennacht

NPI #1033481908 in Evanston, Wyoming

Provider Information

NPI Number
1033481908
Entity Type
Individual
Name
Mackenzie Riebennacht
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Feb 7, 2012
Last Updated
Feb 7, 2012

Practice Location

Address
196 ARROWHEAD DR STE 6
State
Wyoming
ZIP Code
82930-8752
Phone
(307) 789-4224

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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