Individual
JOSE ANTONIO MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
Mailing address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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