Individual
ZACHARY MONTANARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NAVY IDC
Contact information
Practice address
3150 BANCROFT DR # 1, SPRING VALLEY, CA 91977-2669
(518) 369-3511
Mailing address
3150 BANCROFT DR # 1, SPRING VALLEY, CA 91977-2669
(518) 369-3511
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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