Individual
MARY A MONTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW/CHWI
Contact information
Practice address
4190 BEN FICKLIN RD APT 39, SAN ANGELO, TX 76903-9404
(325) 300-8885
Mailing address
4190 BEN FICKLIN RD APT 39, SAN ANGELO, TX 76903-9404
(325) 300-8885
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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