Provider Demographics
NPI:1417839390
Name:MONTES, ZENAIDA JAVIER
Entity type:Individual
Prefix:
First Name:ZENAIDA
Middle Name:JAVIER
Last Name:MONTES
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 1:1459 BUSHY TAIL ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4660
Mailing Address - Country:US
Mailing Address - Phone:916-524-6179
Mailing Address - Fax:
Practice Address - Street 1:1459 BUSHY TAIL ST
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-4660
Practice Address - Country:US
Practice Address - Phone:916-524-6179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care