Individual
MRS. KATHLEEN ANNE MONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 CHESTNUT ST, UNION, NJ 07083-9426
(908) 686-1212
(908) 686-7343
Mailing address
50 GERTRUDE ST, CLARK, NJ 07066-3212
(732) 770-5917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03118900
OH
183500000X
Pharmacist
Primary
28RI02163200
NJ
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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