Individual
MRS. LIMARY MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1532 W VINE ST, KISSIMMEE, FL 34741-4002
(407) 847-8337
Mailing address
864 OGNON CT, KISSIMMEE, FL 34759-3812
(407) 452-0659
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
250101030359889
FL
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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