Organization
MOMMAS LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANDERSON M.S., CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(717) 433-3617
Entity
Organization
Contact information
Practice address
3501 FORTUNA CT, HUNTINGTOWN, MD 20639-4202
(717) 433-3617
Mailing address
3501 FORTUNA CT, HUNTINGTOWN, MD 20639-4202
(717) 433-3617
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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