Individual
JEREMY HOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 4TH AVE, POLSON, MT 59860
(406) 745-3525
Mailing address
PO BOX 880, SAINT IGNATIUS, MT 59865-0880
(406) 745-3525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-196399
MT
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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