Individual
JENNY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14990 W COLUMBINE DR, SURPRISE, AZ 85379-5931
(480) 329-6482
Mailing address
14990 W COLUMBINE DR, SURPRISE, AZ 85379-5931
(480) 329-6482
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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