Individual
BIANCA VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
830 W CENTRAL AVE, MISSOULA, MT 59801-7931
(406) 829-9515
Mailing address
1515 ASHBERRY CT APT 4, MISSOULA, MT 59801-8357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169048
MT
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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