LUCAS ETIENNE BONNEVIE

MISSOULA, MT
NPI1457847329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-07-03
Last Update Date2018-07-03
Business Address
LUCAS ETIENNE BONNEVIE
32 CAMPUS DR
MISSOULA, MT 59801-4494
Phone number: 207-491-3377
Mailing Address
LUCAS ETIENNE BONNEVIE
1033 1/2 E BROADWAY ST
MISSOULA, MT 59802-4911
Phone number: 207-491-3377