Organization
HER ALIBI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE A PACHECO (OWNER)
(406) 459-1416
Entity
Organization
Contact information
Practice address
620 N LAST CHANCE GULCH, HELENA, MT 59601-3347
(406) 442-2425
Mailing address
77 LARCH LN, KALISPELL, MT 59901-8398
(406) 459-1416
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
COFSLNLIC4452
MT
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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