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Organization

THE MISSOULA MERIDIAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA RIVERA (CO-OWNER)
(808) 341-4349
Entity
Organization

Contact information

Practice address
1852 SOUTH AVE W, MISSOULA, MT 59801-6510
(406) 926-1616
Mailing address
1852 SOUTH AVE W, MISSOULA, MT 59801-6510

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
225700000X
Massage Therapist

Other

Enumeration date
10/26/2019
Last updated
10/26/2019
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