Individual
JONTAE MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 OAK AVE, LANSDOWNE, PA 19050-2717
(835) 226-6848
Mailing address
104 OAK AVE, LANSDOWNE, PA 19050
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
—
PA
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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