Organization · Type 2 NPI
Mommas Light LLC
Clinic/Center · Huntingtown, MD
NPI number
1104773647
Active
Practice location
3501 Fortuna Ct
Huntingtown, MD 20639-4202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1104773647
Mommas Light LLC's National Provider Identifier is 1104773647, issued on Mar 13, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Huntingtown, MD. The record was last updated on Mar 13, 2026.