Individual
CRYSTAL R MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
526 UNION AVE, BOGALUSA, LA 70427-2665
(985) 294-4169
Mailing address
526 UNION AVE, BOGALUSA, LA 70427-2665
(985) 294-4169
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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