Individual
MRS. LEZLIE D MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12542 SE 130TH AVE, HAPPY VALLEY, OR 97086-1620
(240) 687-5424
Mailing address
12542 SE 130TH AVE, HAPPY VALLEY, OR 97086-1620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12909
OR
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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