Individual
OCTAVIO MONTELONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 COMERCIANTES BLVD APT 106, SANTA TERESA, NM 88008-9636
(915) 313-2323
Mailing address
105 COMERCIANTES BLVD APT 106, SANTA TERESA, NM 88008-9636
(915) 313-2323
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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