Individual
MRS. MICHAELA M MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1816 SIGMA CHI, ALBUQUERQUE, NM 87131-0001
(505) 277-1572
Mailing address
PO BOX 264, MONTEZUMA, NM 87731-0264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99PA21
NM
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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