Individual
ANSELMO JESUS MONTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11731 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670-6819
(562) 942-8256
Mailing address
11731 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670-6819
(562) 942-8256
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118765
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/05/2022
Last updated
11/01/2023
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