Individual
DIANA MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2153 SAGECREST LOOP NE, RIO RANCHO, NM 87144-2882
(505) 720-4867
Mailing address
2153 SAGECREST LOOP NE, RIO RANCHO, NM 87144-2882
(505) 720-4867
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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