Individual
SHELBY WHITMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 W MENDENHALL ST, DOWNSTAIRS, BOZEMAN, MT 59715-3448
(541) 543-5015
Mailing address
421 W MENDENHALL ST, DOWNSTAIRS, BOZEMAN, MT 59715-3448
(541) 543-5015
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
472
MT
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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