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Travaughn Montgomery
Student in an Organized Health Care Education/Training Program in Santa Monica, California
NPI 1912385048

Travaughn Montgomery is a Student in an Organized Health Care Education/Training Program based in Santa Monica, CA. Travaughn Montgomery practices in Santa Monica, CA. The NPI Number for Travaughn Montgomery is 1912385048 and holds a License No. (California).

The current practice location address for Travaughn Montgomery is 1453 16Th St, Santa Monica, CA and can be reached out via phone at 310-450-4050.

Location: 1453 16Th St, Santa Monica, CA, 90404-2715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912385048
Provider Name
Travaughn Montgomery
Credential
Provider Entity Type
Individual
Gender
Male
Address
1453 16Th St, Santa Monica, CA, 90404-2715
Phone Number
310-450-4050
Fax Number
Provider Enumeration Date
05/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1453 16Th St
City
Santa Monica
State
California
Zip
90404-2715
Phone Number
310-450-4050
Fax Number
person
Provider Business Mailing Address Details
Address
1453 16Th St
City
Santa Monica
State
California
Zip
90404-2715
Phone Number
310-450-4050
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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