Individual
MRS. TAMESHA L MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
175 SE 19TH PL APT 108, GAINESVILLE, FL 32641-0021
(352) 214-7190
Mailing address
175 SE 19TH PL APT 108, GAINESVILLE, FL 32641-0021
(352) 214-7190
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5216261
FL
Other
Enumeration date
10/14/2020
Last updated
06/07/2021
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