Individual
PATRICIA HEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
669 AGENCY MAIN ST, HARLEM, MT 59526-9455
(406) 353-3100
Mailing address
669 AGENCY MAIN ST, HARLEM, MT 59526-9455
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95026456
CA
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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