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Individual

DR. JESUS MONTILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHP

Contact information

Practice address
910 E 4TH ST, BETHLEHEM, PA 18015-1904
(347) 527-8139
Mailing address
651 GARLAND ST, PHILADELPHIA, PA 19120-2644

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/03/2017
Last updated
02/06/2019
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