Individual
JENNIFER ELAINE MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 E COOLEY DR STE 107, COLTON, CA 92324-3901
(909) 388-2200
Mailing address
7751 ARANCI WAY, HIGHLAND, CA 92346-5861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23725
CA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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