Individual
LACRESHA CHARISSE MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E OSBORN RD, PHOENIX, AZ 85012-2327
(602) 283-5832
Mailing address
205 E OSBORN RD, PHOENIX, AZ 85012-2327
(602) 283-5832
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CHW0000000649
AZ
172V00000X
Community Health Worker
Primary
CHW0000000649
AZ
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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