Individual
ANGELA M MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 MCMASTERS AVE, HANNIBAL, MO 63401-2244
(573) 603-1460
(573) 603-1462
Mailing address
118 N 2ND ST, SAINT CHARLES, MO 63301-2832
(636) 224-1210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1999135122
MO
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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