Individual
LATREASA Y MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7817 CROWN POINT AVE, OMAHA, NE 68134-2150
(402) 906-9801
Mailing address
7817 CROWN POINT AVE, OMAHA, NE 68134-2150
(402) 906-9801
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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