Individual
MS. MARTHA JUDITH JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
209 N 10TH ST, SUITE A, HAMILTON, MT 59840-2357
(406) 532-9101
(406) 363-4498
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400
(406) 543-9316
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
35448
MT
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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