Individual
LYDIA O. MONTIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1362 N CASA GRANDE AVE, CASA GRANDE, AZ 85222-2648
(520) 876-1164
Mailing address
1127 E 5TH ST, CASA GRANDE, AZ 85222-4232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN070303
AZ
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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