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Individual

AGATHA MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13001 RAMONA BLVD, STE. I, IRWINDALE, CA 91706-3752
(636) 337-3828
Mailing address
2005 LOVILA LN, ALTADENA, CA 91001-3013
(626) 391-8739

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/03/2010
Last updated
05/03/2010
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