Individual
JACQUELINE MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MANULANI ST, KAILUA, HI 96734-3802
(510) 579-7772
Mailing address
5128 ANDOVER CT, VIRGINIA BEACH, VA 23464-6018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1717
HI
235Z00000X
Speech-Language Pathologist
—
CA
Other
Enumeration date
05/22/2017
Last updated
09/14/2023
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