Individual
JILL RANAE FERDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 4TH AVE S, WOLF POINT, MT 59201-1639
(406) 653-1653
Mailing address
417 EAST 13TH STREET, POPLAT, MT 59255
(406) 768-3383
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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