Individual
CARRIE L MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1027, POPLAR, MT 59255-1027
(406) 768-5364
Mailing address
PO BOX 1027, POPLAR, MT 59255-1027
(406) 768-5364
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BBH-ACLC-LIC-57313
MT
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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