Individual
MYRTHA MONTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 W IONIA ST, LANSING, MI 48915-1813
(517) 482-7674
Mailing address
1129 W IONIA ST, LANSING, MI 48915-1813
(517) 482-7674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
470310365
MI
Other
Enumeration date
03/28/2015
Last updated
03/28/2015
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