Individual
ALACEA L HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1150 34TH ST, APT 6E, MISSOULA, MT 59801-8572
(907) 888-4524
(307) 332-0131
Mailing address
1150 34TH ST, APT 6E, MISSOULA, MT 59801-8572
(907) 888-4524
(307) 332-0131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-59335
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105726000
—
WY
Enumeration date
07/01/2013
Last updated
07/01/2013
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