Individual
HANNAH C CHAM-A-KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5000
(406) 455-4965
Mailing address
232 SALEM RD, GREAT FALLS, MT 59405-8053
(406) 396-6556
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
19358
MT
Other
Enumeration date
06/10/2013
Last updated
04/06/2020
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