Individual
ALEXANDRIA MULVANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 MANGO MULLET DR APT 1, WEST LIBERTY, WV 26074-1106
(740) 868-7790
Mailing address
42 MANGO MULLET DR APT 1, WEST LIBERTY, WV 26074-1106
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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