Individual
DR. PALOMA REGINA DEFUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
2050 FAIRWAY DR STE 103, BOZEMAN, MT 59715-5819
(406) 556-1209
(406) 522-3716
Mailing address
2050 FAIRWAY DR STE 103, BOZEMAN, MT 59715-5819
(406) 556-1209
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
097
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298728
BLUE CROSS BLUE SHIELD
MT
Enumeration date
03/22/2007
Last updated
01/24/2013
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