Organization
JEANEEN MULLENHARD LLC
Active
Other names
Fundamentally Healthy
Organization subpart
No
Provider details
NPI number
Authorized official
JEANEEN MULLENHARD CRNP (OWNER)
(410) 570-9400
Entity
Organization
Contact information
Practice address
801 MARION QUIMBY DR, STEVENSVILLE, MD 21666-2536
(410) 570-9400
Mailing address
801 MARION QUIMBY DR, STEVENSVILLE, MD 21666-2536
(410) 570-9400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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