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Individual

MRS. DIANA MONTOYA-MCWHORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5771 ROOSEVELT BLVD, CLEARWATER, FL 33760-3407
(727) 289-0062
(727) 289-0063
Mailing address
5771 ROOSEVELT BLVD, CLEARWATER, FL 33760-3407
(727) 289-0062
(727) 289-0063

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5151558
FL

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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