Individual
KAYLA MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 WAC PL, BELEN, NM 87002-8185
(505) 489-2605
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 489-2605
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NM
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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