Individual
DOMENIQUE MUNDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 E SANGER ST, PHILADELPHIA, PA 19120-1719
(215) 776-6699
Mailing address
506 E SANGER ST, PHILADELPHIA, PA 19120-1719
(215) 776-6699
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
91843601
PA
376J00000X
Homemaker
91843601
PA
385H00000X
Respite Care
91843601
PA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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