Provider Demographics
NPI:1629618988
Name:NFOR, PLADIA MONTAR
Entity Type:Individual
Prefix:
First Name:PLADIA MONTAR
Middle Name:
Last Name:NFOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 60TH AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRMOUNT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-1420
Mailing Address - Country:US
Mailing Address - Phone:202-999-6694
Mailing Address - Fax:
Practice Address - Street 1:1014 60TH AVE
Practice Address - Street 2:
Practice Address - City:FAIRMOUNT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-1420
Practice Address - Country:US
Practice Address - Phone:202-999-6694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide