Individual
CIARA L MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
293 CANDLEBARK DR, JACKSONVILLE, FL 32225-5353
(404) 944-1741
Mailing address
293 CANDLEBARK DR, JACKSONVILLE, FL 32225-5353
(140) 494-4174
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
FL
376J00000X
Homemaker
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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