Individual
SIERRA MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-4750
(707) 601-8634
Mailing address
305 E FRONT ST APT 321, MISSOULA, MT 59802-4750
(707) 601-8634
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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