Individual
JONNI LEIGH PEKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
1029 4TH ST, WHITEFISH, MT 59937-2709
(406) 885-1130
Mailing address
1029 4TH ST, WHITEFISH, MT 59937-2709
(406) 885-1130
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
133650
MT
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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