Individual
VELVET JEAN WERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3222
Mailing address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3222
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
36129
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36129
LICENSE
MT
Enumeration date
09/07/2009
Last updated
09/07/2009
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