Individual
MRS. EBONY SHENG YANG MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 HIGHWAY 71 N, ALMA, AR 72921-5114
(479) 632-6688
Mailing address
825 HIGHWAY 71 N, ALMA, AR 72921-5114
(479) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-696
AR
Other
Enumeration date
12/06/2016
Last updated
04/28/2017
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