Organization
MISSION VALLEY WELLNESS, PLLC
Active
Other names
Misson Valley Wellness, PLLC, Mission Valley Wellness, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIAMOND TIEA FERN COURVILLE FNP (OWNER)
(406) 676-0244
Entity
Organization
Contact information
Practice address
206 MAIN ST SW, RONAN, MT 59864-2705
(406) 676-0244
Mailing address
PO BOX 252, RONAN, MT 59864-0252
(406) 676-0244
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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