Individual
JAMI MULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 MEADOWLAKE RD, LOS LUNAS, NM 87031-9449
(505) 865-9652
Mailing address
255 CLOUD VIEW AVE SW, LOS LUNAS, NM 87031-6399
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R59298
NM
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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