Individual
AUDREY MISSILDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0004
(406) 243-0211
Mailing address
1020 GERALD AVE, MISSOULA, MT 59801-4238
(360) 480-2972
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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