Montelissa Full Life Resources, INC
NPI #1063758282 in Decatur, Alabama
Provider Information
- NPI Number
- 1063758282
- Entity Type
- Organization
- Organization Name
- Montelissa Full Life Resources, INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Dec 15, 2012
- Last Updated
- Dec 15, 2012
Practice Location
Authorized Official
- Name
- MS. DENISE JOHNSON MASON
- Title
- CEO
- Phone
- (256) 345-3996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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