Individual
MBONI JUMAA KANGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 W ADAMS ST, BURNS, OR 97720-1710
(832) 475-2314
(541) 589-9050
Mailing address
348 W ADAMS ST, BURNS, OR 97720-1710
(832) 475-2314
(541) 589-9050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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