Individual
ANGILICA MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 NW 165TH STREET RD STE 100, MIAMI, FL 33169-6306
(178) 665-7227
Mailing address
500 NW 165TH STREET RD STE 100, MIAMI, FL 33169-6306
(178) 665-7227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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