Individual
CLARISSA THE BOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521-9073
(406) 395-4486
Mailing address
520 7TH AVE N, HAVRE, MT 59501-3038
(406) 344-0806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-123932
MT
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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