Individual provider · NPI-1
Mumbi Jonason
Technician, Other · Glendale, AZ
NPI number1376995332
StatusActive
Last updated in NPPESJul 1, 2016
Details
- NPI
- 1376995332
- Entity type
- Individual (NPI-1)
- Name
- Mumbi Jonason
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2016
- Last updated
- Jul 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
16464 N 62nd AveGlendale, AZ 85306-1124
Phone 623-293-6732
Mailing address
16464 N 62nd AveGlendale, AZ 85306-1124
Phone 623-293-6732
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