Individual
SUSAN THERESA MULLANACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4695 SEMINOLE ROAD, FORT PIERCE, FL 34951
(772) 584-0794
Mailing address
4695 SEMINOLE ROAD, FORT PIERCE, FL 34951
(772) 584-0794
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
MA 54135
FL
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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