Individual
MRS. PAOLINA MULLENEIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Mailing address
4419 BRISTOL AVE, KLAMATH FALLS, OR 97603-8023
(760) 600-6246
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10209683
OR
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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