Individual
BETTY MARIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CG
Contact information
Practice address
8301 E 105TH ST, KANSAS CITY, MO 64134-2123
(816) 606-0108
Mailing address
8301 E 105TH ST, KANSAS CITY, MO 64134-2123
(816) 606-0108
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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