Individual
ALVIN JAY MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
575 W MATHEWS RD, FRENCH CAMP, CA 95231-9757
(209) 468-5303
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41866
CA
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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