Individual
JAN MAYERNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1601 2ND AVE N, GREAT FALLS, MT 59401-3259
(406) 899-3523
Mailing address
200 STUCKEY RD, GREAT FALLS, MT 59404-6107
(406) 899-3523
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
681
MT
Other
Enumeration date
08/08/2010
Last updated
08/08/2010
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