Individual
KISHANDA LARRETTE MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
292 OREGON ST, VAUXHALL, NJ 07088-1319
(908) 378-5357
Mailing address
1146 LIBERTY AVENUE, PO BOX 5823, HILLSIDE, NJ 07205
(908) 378-5357
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/16/2024
Last updated
03/26/2024
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