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Organization
ARALIA HEALTH, LLC
Active
Organization
ARALIA HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE RAVEN ND (PHYSICIAN/OWNER)
(732) 535-0704
Entity
Organization
Contact information
Practice address
206 S 3RD ST W, MISSOULA, MT 59801-2524
(732) 535-0704
Mailing address
PO BOX 310, ALBERTON, MT 59820-0310
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
NULL
175F00000X
Naturopath
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14923677
CAQH
—
01
—
AHC-NAT-LIC-1945
LICENSE
MT
Enumeration date
12/08/2021
Last updated
03/07/2023
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