Individual
DEVON SUE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.T.N.A.
Contact information
Practice address
506 FORESTVIEW CT, CIRCLEVILLE, OH 43113-1493
(740) 477-3752
Mailing address
506 FORESTVIEW CT, CIRCLEVILLE, OH 43113-1493
(740) 477-3752
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400683971107
OH
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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