Johnna A Mullen, LO
NPI #1871880583 in Shelton, Connecticut
Provider Information
- NPI Number
- 1871880583
- Entity Type
- Individual
- Name
- Johnna A Mullen, LO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LO
- Enumeration Date
- Jul 1, 2011
- Last Updated
- Jul 1, 2011
Practice Location
- Address
- 465 BRIDGEPORT CT
- City
- Shelton
- State
- Connecticut
- ZIP Code
- 06484
- Phone
- (203) 926-1189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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