Individual
SHALAE HERBERT JESSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
(406) 447-6187
Mailing address
PO BOX 410021, PINESDALE, MT 59841-0021
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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