Individual
DONNA EARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 MAPLE WAY, KALISPELL, MT 59901
(406) 253-9645
Mailing address
PO BOX 538, SOMERS, MT 59932
(406) 253-9645
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
347740
MT
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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