Individual
MRS. TRACY LYNN KONOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
71 BUS LN, LAUREL, MT 59044-9214
(406) 534-9405
(406) 333-7190
Mailing address
71 BUS LN, LAUREL, MT 59044-9214
(406) 534-9405
(406) 333-7190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
410
MT
Other
Enumeration date
04/09/2007
Last updated
05/10/2011
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