Individual
AMNUAYPORN MONTROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90001 MILLER RD, SUITE #5, SWARTZ CREEK, MI 48473
(989) 401-2244
Mailing address
90001 MILLER RD, SUITE #5, SWARTZ CREEK, MI 48473
(989) 401-2244
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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