Individual
MR. JOSHUA MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
469 WESTFIELD ST APT B3, WEST SPRINGFIELD, MA 01089-2553
(413) 505-0195
Mailing address
469 WESTFIELD ST APT B3, WEST SPRINGFIELD, MA 01089-2553
(413) 505-0195
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN96376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S74602581
DRIVERS LICENSE
MA
Enumeration date
03/24/2021
Last updated
03/24/2021
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