Individual
AUDRA ELIZABETH GERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
1325 2ND AVE N, GREAT FALLS, MT 59401-3217
(406) 380-2118
Mailing address
PO BOX 1667, HAVRE, MT 59501-1667
(406) 380-2118
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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