Individual
LAUREAL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9616 MICRON AVE STE 970, SACRAMENTO, CA 95827-2627
(916) 875-9829
Mailing address
700 H ST STE 4667, SACRAMENTO, CA 95814-1214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95044370
CA
163WC0400X
Case Management Registered Nurse
Primary
95044370
CA
163WC1500X
Community Health Registered Nurse
546575
CA
Other
Enumeration date
12/16/2014
Last updated
03/23/2023
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