Individual
DEBBRA ANN MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BLACKFIELD DR, SUITE # 314, TIBURON, CA 94920-2053
(415) 728-3796
(415) 789-5465
Mailing address
1 BLACKFIELD DR, SUITE # 314, TIBURON, CA 94920-2053
(415) 728-3796
(415) 789-5465
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
15475
CA
363AM0700X
Medical Physician Assistant
Primary
PA748
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447316310
—
NV
Enumeration date
06/09/2010
Last updated
08/24/2015
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