Canada Montgomery

NPI #1003542663 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1003542663
Entity Type: Individual
Name: Canada Montgomery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 26, 2022
Last Updated: Mar 28, 2023

Practice Location

Address: 3400 SPRUCE ST
City: Philadelphia
State: Pennsylvania
ZIP Code: 19104-4238
Phone: (412) 607-0137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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