Individual
PAMELA C MUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
194 THOMAS JOHNSON DR, FREDERICK, MD 21702-4679
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 439-8812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08100
MD
363AM0700X
Medical Physician Assistant
PA7177
MA
Other
Enumeration date
11/02/2018
Last updated
11/04/2022
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