Individual
MRS. CAROLYN MULLOOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 MEADE ST, WILKINSBURG, PA 15221-2131
(412) 436-1298
Mailing address
133 PEPPERTREE DR, NEW KENSINGTON, PA 15068-8309
(412) 793-1918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN270029
PA
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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