Individual
JESSICA I MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 BARBARADALE CIR, N/A, LAS VEGAS, NV 89146-5160
(702) 418-2946
Mailing address
2611 BARBARADALE CIR, N/A, LAS VEGAS, NV 89146-5160
(702) 418-2946
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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