Jacqueline Ellen Mullen, MOTR L

NPI #1780804070 in Gig Harbor, Washington

Provider Information

NPI Number: 1780804070
Entity Type: Individual
Name: Jacqueline Ellen Mullen, MOTR L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MOTR L
Enumeration Date: Apr 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5334 OLYMPIC DR NW
Address 2: SUITE 101
City: Gig Harbor
State: Washington
ZIP Code: 98335-1722
Phone: (253) 853-5155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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