Organization
JACQUELINE EATON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE EATON LMT (THERAPIST)
(406) 261-8002
Entity
Organization
Contact information
Practice address
596 HOLLOW LN, BIGFORK, MT 59911-6325
(406) 261-8002
Mailing address
596 HOLLOW LN, BIGFORK, MT 59911-6325
(406) 261-8002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4057
MT
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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