Individual
NATEESHA CAMILLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10202 MANOR AVE, CLEVELAND, OH 44104-4942
(216) 307-0352
Mailing address
10202 MANOR AVE, CLEVELAND, OH 44104-4942
(216) 307-0352
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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