Individual
LYN AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 S RESERVE ST STE B, MISSOULA, MT 59801-4708
(406) 304-3015
(406) 304-3096
Mailing address
1715 S RESERVE ST STE B, MISSOULA, MT 59801-4708
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
176325
CA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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