Jesse Montoya

NPI #1558785808 in Las Vegas, New Mexico

Provider Information

NPI Number: 1558785808
Entity Type: Individual
Name: Jesse Montoya
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Feb 6, 2014
Last Updated: Feb 6, 2014

Practice Location

Address: 700 FRIEDMAN AVE
City: Las Vegas
State: New Mexico
ZIP Code: 87701-4231
Phone: (505) 454-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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