Individual
MRS. SEDERA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
473 CENTRAL AVE, RESERVE, LA 70084-5509
(985) 536-2172
Mailing address
473 CENTRAL AVE, RESERVE, LA 70084-5509
(985) 536-2172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN087735
LA
Other
Enumeration date
02/22/2007
Last updated
07/18/2014
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