Individual
BRENDA JOY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
751 E DAILY DR, SUITE 120, CAMARILLO, CA 93010-6076
(805) 256-7810
(805) 256-7840
Mailing address
751 E DAILY DR, SUITE 120, CAMARILLO, CA 93010-6076
(805) 256-7810
(805) 256-7840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20712
CA
Other
Enumeration date
04/29/2011
Last updated
11/23/2016
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