MATTHEW HERTA

FORT HARRISON, MT
NPI1245533892
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MT  39675)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: MI  L1495260)
Enumeration Date2010-12-20
Last Update Date2010-12-20
Business Address
-- MATTHEW HERTA
3687 VETERANS DR
FORT HARRISON, MT 59636-9703
Phone number: 406-447-7194
Mailing Address
-- MATTHEW HERTA
1200 N WASHINGTON ST
HELENA, MT 59601-3238
Phone number: 406-442-4706