Provider Demographics
NPI:1598193419
Name:MONTERREY, DAYNA (NMD)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:MONTERREY
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 S LAKESHORE DR STE 3
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7169
Mailing Address - Country:US
Mailing Address - Phone:480-718-9493
Mailing Address - Fax:
Practice Address - Street 1:4701 S LAKESHORE DR STE 3
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7169
Practice Address - Country:US
Practice Address - Phone:480-718-9493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13-1388175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath