Individual
MRS. JENNIFER STIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., I.B.C.L.C
Contact information
Practice address
734 KENSINGTON AVE, MISSOULA, MT 59801-5720
(406) 721-5440
Mailing address
734 KENSINGTON AVE, MISSOULA, MT 59801-5720
(406) 721-5440
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN31476
MT
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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