Individual
JEAN GAIL MULLENAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
(619) 659-3140
Mailing address
4305 UNIVERSITY AVE, STE 150, SAN DIEGO, CA 92105-1601
(619) 563-0507
(619) 563-0015
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G66967
CA
Other
Enumeration date
04/22/2006
Last updated
01/12/2012
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