Bonita Faye Mullins

NPI #1629225198 in Hayti, Missouri

Provider Information

NPI Number: 1629225198
Entity Type: Individual
Name: Bonita Faye Mullins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 26, 2008
Last Updated: Aug 26, 2008

Practice Location

Address: 500 US HIGHWAY 61 NORTH
City: Hayti
State: Missouri
ZIP Code: 63851
Phone: (573) 359-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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