Individual
CHRISTINA LOUISE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
680 PINE ST, CHILLICOTHE, OH 45601-1250
(740) 637-9503
Mailing address
680 PINE ST, CHILLICOTHE, OH 45601-1250
(740) 637-9503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-147292-M-IV
OH
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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