Individual
TIA MULLAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S CLEVELAND AVE, WESTERVILLE, OH 43081-8971
(614) 898-4000
Mailing address
640 NORTHRIDGE RD, COLUMBUS, OH 43214-3332
(850) 207-5179
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
APRN.CNM.019382
OH
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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