Individual
DIANA MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4126 MAINE AVE, BALDWIN PARK, CA 91706-3306
(626) 653-0800
Mailing address
4126 MAINE AVE, BALDWIN PARK, CA 91706-3306
(626) 653-0800
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95004529
CA
Other
Enumeration date
10/02/2016
Last updated
06/14/2023
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