Individual
ROBERT MULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
543 ORANGE AVE, CORONADO, CA 92118-1826
(619) 892-0075
Mailing address
543 ORANGE AVE, CORONADO, CA 92118-1826
(619) 892-0075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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