Individual
MR. RONNIE RAY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 OLYMPIC ST, KENNER, LA 70065-1017
(504) 469-5375
(504) 469-2900
Mailing address
10 OLYMPIC ST, KENNER, LA 70065-1017
(504) 469-5375
(504) 469-2900
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0567817
LLC
LA
Enumeration date
02/28/2011
Last updated
02/28/2011
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