Individual
PHILLIP YUILL MUMMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 PENNROSE TALLEY, GARNET VALLEY, PA 19060-1623
(484) 574-0551
Mailing address
26 PENNROSE TALLEY, GARNET VALLEY, PA 19060-1623
(484) 574-0551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
731183
PA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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