Individual
JOANNE MULLANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
129 MARVIN JONES RD, CRESCENT CITY, FL 32112-4521
(512) 629-7562
Mailing address
129 MARVIN JONES RD, CRESCENT CITY, FL 32112-4521
(512) 629-7562
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
3211082
FL
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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