Individual
TINA UELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 OAK ST, ANACONDA, MT 59711-2335
(406) 560-1678
Mailing address
2481 GALEN RD, ANACONDA, MT 59711-9581
(406) 560-1678
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
509
MT
Other
Enumeration date
10/23/2015
Last updated
01/31/2016
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