Individual
MR. ADAM MATTHEW MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 W HOSPITALITY LN, SUITE 103, SAN BERNARDINO, CA 92408-3243
(909) 266-2771
Mailing address
8913 SUMMERWOOD WAY, FONTANA, CA 92335-4578
(909) 781-0250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/24/2014
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