Individual
SUMMER RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10110 SOUTH 7650 EAST, CROW AGENCY, MT 59022-0009
(406) 638-3500
Mailing address
PO BOX 114, CUSTER, MT 59024
(406) 861-0931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC 46352
MT
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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