NPI 1831981331

Leslie Ginevra Montgomery

Practitioner Contractor Nampa, ID

Practice location

Address: 700 Parkside Way, Nampa, ID 83686-8247
Phone: (208) 703-7729
Fax: (208) 703-7729
Mailing address: 11259 Sopris Loop, Caldwell, ID 83605-1009

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence CFH-6633 (ID)

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Registry record

NPI: 1831981331
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2025
Record last updated: 20 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.