Individual
DONALD RAY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 ROCKSIDE RD STE 100, INDEPENDENCE, OH 44131-2148
(216) 750-2600
Mailing address
111 PARKSIDE DR, CRESTON, OH 44217-9533
(216) 544-2116
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.150415.MEDS-IV
OH
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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