Individual
JAMIE L MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
159 RAILROAD ST, PLYMOUTH, OH 44865-1050
(567) 227-0093
Mailing address
159 RAILROAD ST, PLYMOUTH, OH 44865-1050
(567) 227-0093
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN116395
OH
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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