Individual
JUDITH ROSALYN MONTALVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 NE 60TH ST, FT LAUDERDALE, FL 33308-2127
(954) 830-9508
Mailing address
1101 NE 214TH ST, MIAMI, FL 33179-1317
(305) 610-5229
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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