Individual
MS. AGLENA NICOLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 217-0166
Mailing address
1120 TABOR LN, PHILADELPHIA, PA 19111-2767
(267) 506-6378
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN625000
PA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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