Individual
EBONY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
369 FINGAL ST, PITTSBURGH, PA 15211-1013
(910) 228-4617
Mailing address
369 FINGAL ST, PITTSBURGH, PA 15211-1013
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174H00000X
—
PA
Enumeration date
08/08/2019
Last updated
08/08/2019
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