Individual
ASHLEY MARIE AZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 1/2 COURT AVE, POPLAR, MT 59255
(406) 480-9389
Mailing address
7025 AA 2 DR, WOLF POINT, MT 59201-9010
(406) 480-9389
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BBH-ACLC-LIC-48816
MT
Other
Enumeration date
10/16/2023
Last updated
10/31/2023
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