Individual
MS. FRANCES DEFORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
634 EDDY AVE, MISSOULA, MT 59812-1851
(406) 243-4330
Mailing address
634 EDDY AVE, MISSOULA, MT 59812-1851
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
MT25270
MT
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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