Individual
JAUWANA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 CREEK BEND DRIVE, SUMMERVILLE, SC 29485-8179
(843) 291-2759
Mailing address
31 CREEK BEND DR, SUMMERVILLE, SC 29485-8179
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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