Individual
MS. HEATHER A MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
205 E 4TH ST, BROOKLYN, NY 11218-2303
(646) 431-3939
Mailing address
205 E 4TH ST, BROOKLYN, NY 11218-2303
(646) 431-3939
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11238944
NY
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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