Individual
MUMBI JONASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16464 N 62ND AVE, GLENDALE, AZ 85306-1124
(623) 293-6732
Mailing address
16464 N 62ND AVE, GLENDALE, AZ 85306-1124
(623) 293-6732
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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