Individual
MRS. ANNETTE V MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
5270 QUEENSWOOD DR, TAYLORSVILLE, UT 84129-3314
(801) 679-1911
Mailing address
5270 QUEENSWOOD DR, TAYLORSVILLE, UT 84129-3314
(801) 679-1911
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
130178
CO
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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