Individual
MRS. BIANCA CRYSTAL MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 S SCHOOL RD, THREE RIVERS, TX 78071-2724
(361) 786-3603
Mailing address
PO BOX 402, PREMONT, TX 78375-0402
(361) 455-0501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109413
TX
Other
Enumeration date
11/03/2022
Last updated
09/14/2023
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