Individual
PATRICIA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, GEORGE CLINIC, PROVIDENCE, RI 02903-4923
(401) 444-3201
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-9339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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