Individual
BETH ANN MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
72301 COUNTRY CLUB DR STE 102, RANCHO MIRAGE, CA 92270-8007
(760) 862-9168
Mailing address
72301 COUNTRY CLUB DR STE 102, RANCHO MIRAGE, CA 92270-8007
(760) 862-9168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11287
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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