Most Relevant Information
Provider Data
| NPI Number: | 1003222720 |
| Provider Name: | MARYELLEN MONTANO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2014 |
| Last Updated: | 07/02/2014 |
Provider Practice Location
11059 E BETHANY DR
STE 200
AURORA
CO
800142622
Practice Location Phone/Fax
| Phone: | 3036172342 |
| Fax: |
Provider Mailing Location
11059 E. BETHANY DR.
STE 200
AURORA
CO
80014
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |