Individual
JULIE MAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S 5TH ST STE 105, HAMILTON, MT 59840-2798
(406) 363-3366
Mailing address
700 W KENT AVE, MISSOULA, MT 59801-6772
(406) 541-3937
(406) 541-3811
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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