Individual
AMANDA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 CHARLEVOIX AVE, WHEELERSBURG, OH 45694-9028
(740) 285-5660
Mailing address
1145 CHARLEVOIX AVE, WHEELERSBURG, OH 45694-9028
(740) 285-5660
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
OH
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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