NPI 1568674679

Jennifer Lynn Gouldsberry-Wellman, ACT

Practitioner Other Technician Missoula, MT

Practice location

Address: 900 S Higgins Ave, Missoula, MT 59801-4100
Phone: (406) 728-2400
Mailing address: 1719 S 12th St W APT. B, Missoula, MT 59801-4821

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Montana →

Registry record

NPI: 1568674679
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.