Individual
TANA Y MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13718 PACIFIC AVE S, TACOMA, WA 98444-4746
(425) 243-2739
(253) 584-2649
Mailing address
1037 NE 65TH. ST., PMB 82811, SEATTLE, WA 98115
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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