Individual
JR MONTEMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-8771
Mailing address
2711 RIDGESIDE PL, SPRING VALLEY, CA 91977-6824
(619) 713-1434
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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