Individual
MRS. ADANA M MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2257 VISTA PARKWAY #14-15, WEST PALM BEACH, FL 33411
(561) 688-2877
(561) 686-7212
Mailing address
2909 RHODE ISLAND AVE, FORT PIERCE, FL 34947
(772) 489-4063
(561) 688-2877
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT1447
FL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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