Individual
MS. KERRI S MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8080 MADISON AVE STE 200D, FAIR OAKS, CA 95628-3736
(210) 540-3885
Mailing address
8842 WINDING WAY APT 446, FAIR OAKS, CA 95628-6498
(210) 540-3885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86030089
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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