Individual
JULENE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNC
Contact information
Practice address
244 PORTOLA DR, SAN MATEO, CA 94403-2327
(650) 619-8947
Mailing address
244 PORTOLA DR, SAN MATEO, CA 94403-2327
(650) 619-8947
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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