Individual
MRS. PIYANUD A MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
689 DALE ST N, SAINT PAUL, MN 55103-1644
(651) 261-1193
(651) 331-5077
Mailing address
957 MORGAN RD, RIVER FALLS, WI 54022-2639
(651) 261-1193
(651) 331-5077
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/30/2014
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