Individual
ROSA MONTEMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4522 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-3227
(219) 397-4335
(219) 397-4651
Mailing address
4522 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-3227
(219) 397-4335
(219) 397-4651
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
27051532A
IN
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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