Individual
LATONIA MARIE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2350 NORTH LIMESTONE #10, SPRINGFIELD, OH 45503
(937) 717-5321
Mailing address
2350 NORTH LIMESTONE #10, SPRINGFIELD, OH 45503
(937) 717-5321
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN114705
OH
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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