Individual
SHANNON HOCHHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
963 LEGENDARY LN, VICTOR, MT 59875
(406) 369-1404
Mailing address
963 LEGENDARY LN, VICTOR, MT 59875
(406) 369-1404
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
312880
MT
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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