# WANNAPORN MULLAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coalinga Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861500787
- **Authorized official:** MRS. WANNAPORN MULLAN (OWNER)
- **Authorized official phone:** (559) 935-9350

## Contact information

- **Practice address:** 155 SOUTH 5TH STREET, SUITE A, COALINGA, CA 93210-1903
- **Practice address phone:** (559) 935-9350
- **Practice address fax:** (559) 935-2329
- **Mailing address:** 155 SOUTH 5TH STREET, SUITE A, COALINGA, CA 93210-1903
- **Mailing address phone:** (559) 935-9350
- **Mailing address fax:** (559) 935-2329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 06/23/2008