Individual
EDEN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MOUNT CARMEL AVE # 5688, HAMDEN, CT 06518-1905
(518) 321-0453
Mailing address
275 MOUNT CARMEL AVE # 5688, HAMDEN, CT 06518-1905
(518) 321-0453
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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