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JANAI LATRISE MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
601 E STEWART AVE, FLINT, MI 48505-5323
(810) 620-6541
Mailing address
601 E STEWART AVE, FLINT, MI 48505-5323
(810) 620-6541

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122873
MI

Other

Enumeration date
11/14/2023
Last updated
11/14/2023
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