Individual
CASSIDY MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HILLSIDE AVE, WEST CALDWELL, NJ 07006-7955
(862) 223-0940
Mailing address
105 HILLSIDE AVE, WEST CALDWELL, NJ 07006-7955
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
624368
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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