Individual
REGINA MARIE MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 SCOTT AVE SE, BEMIDJI, MN 56601-3561
(218) 368-5474
Mailing address
418 SCOTT AVE SE, BEMIDJI, MN 56601-3561
(218) 368-5474
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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