Individual
MRS. GENNIFER M MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
Z58464
Contact information
Practice address
215 AVENIDA DEL MAR STE F, SAN CLEMENTE, CA 92672-4007
(949) 636-8145
Mailing address
215 AVENIDA DEL MAR STE F, SAN CLEMENTE, CA 92672-4007
(949) 636-8145
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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