Individual
MRS. MARGARET MECHELLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA/HHA
Contact information
Practice address
12939 LAKE VISTA DR, GIBSONTON, FL 33534-3900
(813) 464-0828
(813) 373-5448
Mailing address
12939 LAKE VISTA DR, GIBSONTON, FL 33534-3900
(813) 464-0828
(813) 373-5448
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
M532573655270
FL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/16/2017
Last updated
06/16/2018
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