SearchFlorida261QD1600X

Shacoya Montgomery

NPI 1316416381 · on the registry since 2018 · sole proprietor

Practice

Address
3909 Sandhill Crane Dr
Lakeland, FL 33811
Phone
(863) 617-5840
Organisation at this address
Awesome Angels Of Change Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
261QD1600X
261QD1600X
Sex
Female
Record last updated
2018-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida