Individual
REJEANA MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27 PEBBLEBROOK CT, BLOOMINGTON, IL 61705-6300
(309) 820-8767
Mailing address
27 PEBBLEBROOK CT, BLOOMINGTON, IL 61705-6300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036104077
IL
Other
Enumeration date
05/18/2006
Last updated
06/16/2011
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