Individual
MAGDOLYN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 KENMORE AVE, KENMORE, NY 14217-2924
(716) 335-9711
Mailing address
268 RIVERSIDE AVE, BUFFALO, NY 14207-2137
(716) 319-7935
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031781
NY
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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