All Medicaid billing entities listing WIESE, KRISTEN (OWNER / OPERATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 1 | $5K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KIDSBRIDGE | LOS RANCHOS, NM | Clinic/Center | $5K |