Individual
VIRGINIA KRISTEL FROSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT,LPN
Contact information
Practice address
349 POPHAM LN, CORVALLIS, MT 59828-9509
(406) 396-7556
Mailing address
349 POPHAM LN, CORVALLIS, MT 59828-9509
(406) 396-7556
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN8134
MT
172M00000X
Mechanotherapist
Primary
NO RIQUIRED
MT
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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