Individual
HEIDI JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, CFA
Contact information
Practice address
2802 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1738
(406) 728-3811
(406) 721-9141
Mailing address
2802 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1738
(406) 728-3811
(406) 721-9141
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
83150
MT
Other
Enumeration date
01/23/2007
Last updated
12/04/2007
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