Individual
SANDRA J MULLENNIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3826 TOPSAIL DR, COLORADO SPRINGS, CO 80918-5602
(719) 598-4819
Mailing address
3826 TOPSAIL DR, COLORADO SPRINGS, CO 80918-5602
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0462317
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65126831
—
CO
Enumeration date
09/07/2010
Last updated
09/07/2010
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