Individual
JENNIFER LATRISE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 43537-1745
(419) 891-6221
(419) 893-3394
Mailing address
660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 43537-1745
(419) 891-6221
(419) 893-3394
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34010645
OH
208000000X
Pediatrics Physician
Primary
V4441
TX
Other
Enumeration date
06/30/2009
Last updated
01/16/2025
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