Individual
BROOKE ELAINE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
1708 PINE ST APT 1R, PHILADELPHIA, PA 19103
(240) 674-5524
Mailing address
1708 PINE ST APT 1R, PHILADELPHIA, PA 19103-6767
(240) 674-5524
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1084318
PA
Other
Enumeration date
06/10/2016
Last updated
07/31/2018
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