Individual
MRS. SUNNY RAE YOCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROFESSIONAL PAYEE
Contact information
Practice address
915 W DICKERSON ST, BOZEMAN, MT 59715-4330
(406) 548-5915
(406) 587-5876
Mailing address
PO BOX 628, BOZEMAN, MT 59771-0628
(406) 548-5915
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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