Individual
MARISA TAILOR MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 SILVERSMITH PL, RENO, NV 89511-8148
(530) 300-3898
Mailing address
3245 CLOVER WAY # 4-313, RENO, NV 89509-4786
(530) 300-3898
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/21/2017
Last updated
12/27/2018
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