Individual
DINA BERNADETTE MONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 W LEAGUE ST, NORWALK, OH 44857-1333
(567) 805-8069
Mailing address
22 W LEAGUE ST, NORWALK, OH 44857-1333
(567) 805-8069
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74944666
—
OH
Enumeration date
01/27/2023
Last updated
01/27/2023
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