SearchMontana225CX0006X

Jolene Wallace, COMS

NPI 1861853269 · on the registry since 2016 · sole proprietor

Practice

Address
110 Apple House Ln
Missoula, MT 59802
Phone
(406) 360-9480
Fax
(406) 549-3581

Registry record

Primary taxonomy
225CX0006X
225CX0006X
Sex
Female
Record last updated
2016-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana