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Individual

MS. TRACY L RICHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNM

Contact information

Practice address
670 PARK AVE, SHELBY, MT 59474-1663
(406) 434-3100
(406) 434-3143
Mailing address
460 O'HAIRE BLVD, SHELBY, MT 59474
(406) 434-3100
(406) 434-3143

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
29023
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29023
MONTANA LICENSE
MT
Enumeration date
05/22/2015
Last updated
05/22/2015
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