Individual
MR. LONNY JAY CUMMINGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1830 40TH AVE S APT 116, MOORHEAD, MN 56560-7923
(320) 304-4324
Mailing address
1830 40TH AVE S APT 116, MOORHEAD, MN 56560-7923
(320) 304-4324
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
ND
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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