Individual
DAVID JOE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 LATHEM RIDGE RD, RAVENSWOOD, WV 26164-3611
(304) 531-4803
Mailing address
303 LATHEM RIDGE RD, RAVENSWOOD, WV 26164-3611
(304) 531-4803
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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