Individual
RUSTIE CHANELLE LEGARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 N 6TH ST W APT 2, 730 NORTH 6TH ST WEST #2 MISSOULA, MT 59802, MISSOULA, MT 59802-2845
(406) 493-2142
Mailing address
PO BOX 2373, 730 NORTH 6TH ST WEST #2 MISSOULA MONTANA 59802, MISSOULA, MT 59806-2373
(406) 493-2142
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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