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Individual

DR. MELISSA M MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
800 N. STATE COLLEGE BLVD., DEPT. OF KINESIOLOGY, FULLERTON, CA 92831
(657) 278-7867
Mailing address
800 N STATE COLLEGE BLVD DEPT OF, FULLERTON, CA 92831-3547
(657) 278-7867

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/25/2014
Last updated
01/24/2025
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