Individual
DR. JERIANNE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
26615 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038-8347
(425) 413-8787
Mailing address
21806 240TH PL SE, MAPLE VALLEY, WA 98038-8463
(253) 737-8336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60314137
WA
Other
Enumeration date
01/15/2014
Last updated
01/22/2016
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