Individual
CHELSEA ANNE MUMFORD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 S CLAY ST APT 304, TROY, OH 45373-4045
(937) 451-1369
Mailing address
623 S CLAY ST APT 304, TROY, OH 45373-4045
(937) 451-1369
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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