MARY MONTGOMERY

CLARKSBURG, WV
NPI1184846321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  15311)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- MARY MONTGOMERY
706 OAKMOUND RD
CLARKSBURG, WV 26301-9398
Phone number: 304-622-7511
Mailing Address
-- MARY MONTGOMERY
PO BOX 60
GYPSY, WV 26361-0060
Phone number: