Organization
NORTHWEST NUTRITION CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY A DUTY RD (OWNER)
(406) 471-9998
Entity
Organization
Contact information
Practice address
140 CYCLONE DR, KALISPELL, MT 59901-7163
(406) 471-9998
Mailing address
140 CYCLONE DR, KALISPELL, MT 59901-7163
(406) 471-9998
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
516
MT
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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