Individual
MAVIS DILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1069 GRANT DR, GREAT FALLS, MT 59404-6222
(406) 564-7049
Mailing address
1069 GRANT DR, GREAT FALLS, MT 59404-6222
(406) 564-7049
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
920112
MT
374U00000X
Home Health Aide
920112
MT
Other
Enumeration date
10/14/2015
Last updated
04/17/2017
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