TRAVAUGHN MONTGOMERY

SANTA MONICA, CA
NPI1912385048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-05-08
Last Update Date2015-05-11
Business Address
-- TRAVAUGHN MONTGOMERY
1453 16TH ST
SANTA MONICA, CA 90404-2715
Phone number: 310-450-4050
Mailing Address
-- TRAVAUGHN MONTGOMERY
1453 16TH ST
SANTA MONICA, CA 90404-2715
Phone number: 310-450-4050
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