Individual
COURTNEY MULLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FIRESTONE DR, ROCHESTER, NY 14624-2721
(585) 733-5592
Mailing address
55 FIRESTONE DR, ROCHESTER, NY 14624-2721
(585) 733-5592
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
343219
NY
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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