Individual
EMILY TUCKER MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9251 E MINERAL AVE UNIT 509, CENTENNIAL, CO 80112-4888
(802) 371-7526
Mailing address
2417 MICHIGAN AVE, SANTA MONICA, CA 90404-4009
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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