Individual
ANNIE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35401 MISSION DR, SAINT IGNATIUS, MT 59865-7791
(406) 745-3525
Mailing address
PO BOX 880, SAINT IGNATIUS, MT 59865-0880
(406) 745-3525
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BBH-ACLC-LIC-70420
MT
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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