Individual
DANIELLE ANN MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15782 HUNTERS RUN, MARYSVILLE, OH 43040-9658
(937) 243-7012
Mailing address
15782 HUNTERS RUN, MARYSVILLE, OH 43040-9658
(937) 243-7012
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102845
CONTRACT NUMBER
OH
Enumeration date
10/25/2021
Last updated
10/25/2021
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