Individual
JULIAH CLAIRA FLORES I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
4022 SOUTH AVE W, MISSOULA, MT 59804-6386
(406) 478-6939
Mailing address
PO BOX 2665, MISSOULA, MT 59806
(406) 478-6939
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
2018-MSS-GEN-00087
MT
385H00000X
Respite Care
2018-MSS-GEN-00087
MT
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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