Individual
MISS MOLLIE SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
GONZAGA UNIVERSITY MSC 3838, 502 E BOONE AVE., SPOKANE, WA 99258-2500
(406) 438-2726
Mailing address
3 HIGHWAY 5 E, PLENTYWOOD, MT 59254-9618
(406) 438-2726
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
MED-EMT-LIC-51614
MT
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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