Wannaporn Mullan

NPI #1861500787 in Coalinga, California

Provider Information

NPI Number: 1861500787
Entity Type: Organization
Organization Name: Wannaporn Mullan
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Aug 29, 2006
Last Updated: Jun 23, 2008

Practice Location

Address: 155 SOUTH 5TH STREET
Address 2: SUITE A
City: Coalinga
State: California
ZIP Code: 93210-1903
Phone: (559) 935-9350

Authorized Official

Name: MRS. WANNAPORN MULLAN
Title: OWNER
Phone: (559) 935-9350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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