Individual
JACQUELINE ELLEN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR L
Contact information
Practice address
5334 OLYMPIC DR NW, SUITE 101, GIG HARBOR, WA 98335-1722
(253) 853-5155
(253) 853-5150
Mailing address
5334 OLYMPIC DR NW, SUITE 101, GIG HARBOR, WA 98335-1722
(253) 853-5155
(253) 853-5150
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT00004417
WA
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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