Individual
CHRISTINA MARIE MULLICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4440 BROCKTON AVE, SUITE 420, RIVERSIDE, CA 92501-3901
(909) 684-8020
(951) 684-8090
Mailing address
2865 COTTAGE CT, PERRIS, CA 92571-6913
(951) 684-8020
(951) 684-8090
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP15077
CA
Other
Enumeration date
08/18/2006
Last updated
01/22/2009
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