Individual
AMANDA FAYE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 932-4435
Mailing address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 932-4435
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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