Individual
KARRY MIKEL CLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2625 WINNE AVE # A1, HELENA, MT 59601-4958
(406) 422-0114
Mailing address
2625 WINNE AVE # A1, HELENA, MT 59601-4958
(406) 422-0114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NUR-LPN-LIC-98484
MT
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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