Individual
THOMAS LEE MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58471 29 PALMS HWY STE 102, YUCCA VALLEY, CA 92284-5818
(760) 853-7888
Mailing address
58471 29 PALMS HWY STE 102, YUCCA VALLEY, CA 92284-5818
(760) 853-7888
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
07/09/2025
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