Individual
SUZANNE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2755 HERNDON AVE, CLOVIS, CA 93611-6800
(559) 901-6011
Mailing address
113 HARTLEY CT, TULARE, CA 93274-1999
(559) 901-6011
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
650745
CA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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