Individual
MRS. JAMIE LEA MULLENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837
(509) 765-9239
Mailing address
PO BOX 22, EPHRATA, WA 98823
(509) 398-0665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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