Individual
MRS. YISEDTH ANYULY MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CUMMINS DRIVE MODESTO CA 95358, MODESTO, CA 95358
(209) 576-1750
Mailing address
1620 CUMMINS DRIVE MODESTO CA 95358, MODESTO, CA 95358
(209) 576-1750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
02/07/2023
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