Individual
MR. PATRICK LEE MAULL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT, CRT
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120
(619) 528-5019
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
Primary
40408
CA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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