Individual
JESSICA M FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 15TH AVE S, GREAT FALLS, MT 59405-5201
(406) 750-6102
Mailing address
2621 15TH AVE S, GREAT FALLS, MT 59405-5201
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
2348
MT
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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