Individual
NICOLE LYNNETTE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10631 TIERRASANTA BLVD, SAN DIEGO, CA 92124-2605
(858) 576-0972
(858) 576-0035
Mailing address
10416 EL NOPAL, SANTEE, CA 92071-4907
(619) 954-3976
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
183536
CA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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