Individual
MISS JESSICA LYNN MULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
205 ROBIN RD, PARAMUS, NJ 07652-1449
(201) 225-1511
Mailing address
174 W 31ST ST, BAYONNE, NJ 07002-1806
(518) 788-7769
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
NJ
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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