Individual
LESLIE HIROKO MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3848 HARRISON BLVD, OGDEN, UT 84408
(801) 626-6000
Mailing address
765 W 700 S, BRIGHAM CITY, UT 84302
(435) 225-2513
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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