Individual
JOAN M LATRAY
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) 353-3100
(406) 353-3229
Mailing address
815 MISSOURI ST, CHINOOK, MT 59523
(406) 357-3734
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN 20549
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 20549
LICENSE
MT
Enumeration date
05/15/2007
Last updated
07/08/2007
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