Timothy G Vanlitsenborgh

NPI #1295066686 in Torrington, Wyoming

Provider Information

NPI Number
1295066686
Entity Type
Individual
Name
Timothy G Vanlitsenborgh
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Jan 25, 2010
Last Updated
Jan 25, 2010

Practice Location

Address
501 ALBANY AVE
State
Wyoming
ZIP Code
82240-1503
Phone
(307) 532-4091

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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