Individual
MIJAH MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 W SUSSEX AVE, MISSOULA, MT 59801-6827
(406) 565-3028
Mailing address
345 W SUSSEX AVE, MISSOULA, MT 59801-6827
(406) 565-3028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-212367
MT
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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