Individual
BIANCA MULANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSC, MPH
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
3255 BRIDGEFIELD DR, LAKELAND, FL 33803-7903
(863) 644-0402
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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