Individual
CERISSE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 WAVERLY ST, MISSOULA, MT 59802-2727
(406) 207-2012
Mailing address
1421 WAVERLY ST, MISSOULA, MT 59802-2727
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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