Individual
SOPHIA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 WASHINGTON AVE N, MINNEAPOLIS, MN 55401-2263
(612) 825-4792
(626) 727-7535
Mailing address
4749 16TH AVE S, MINNEAPOLIS, MN 55407-3606
(804) 467-4592
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2018
Last updated
06/05/2026
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