Individual
MONTAY CHATMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18394 BLYTHE WAY, BLYTHE, CA 92225-2262
(951) 293-1874
Mailing address
18394 BLYTHE WAY, BLYTHE, CA 92225-2262
(951) 293-1874
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D7119310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922680529
SCOOP TRANSPORTATIONS LLC
CA
Enumeration date
03/07/2023
Last updated
03/07/2023
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