Individual
VIVIAN LAURANNA MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
2531 SW 14TH TER, PAHOKEE, FL 33476-2803
(561) 261-9095
Mailing address
2531 SW 14TH TER, PAHOKEE, FL 33476-2803
(561) 261-9095
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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