Individual
JESSICA MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8492
(401) 444-6115
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8492
(401) 444-6115
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00555
RI
Other
Enumeration date
07/14/2006
Last updated
09/18/2008
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