Individual
GLENDA LOIS MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3270 VILLA LN, NAPA, CA 94558-3085
(707) 251-3608
(707) 251-1727
Mailing address
3270 VILLA LN, NAPA, CA 94558-3085
(707) 251-3608
(707) 251-1727
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A142034
CA
207YX0602X
Otolaryngic Allergy Physician
125060100
IL
Other
Enumeration date
07/13/2011
Last updated
03/03/2025
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