Individual
SUSAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 MYSTIC LN, TROY, OH 45373-2254
(937) 332-3860
(937) 332-3980
Mailing address
921 MYSTIC LN, TROY, OH 45373-2254
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN193672
OH
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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