Jerry Michael Mc Mullen

NPI 1366647620 - Counselor - 101YM0800X

NPI Details
NPI 1366647620
Gender Male
Enumeration Date 06/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1400 EMELINE AVE BLDG K
SANTA CRUZ CA, 95060-1976, US
Phone (831) 454-4957
Fax
Business Location
1400 EMELINE AVE BLDG K
SANTA CRUZ CA, 95060-1976, US
Phone (831) 454-4957
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Jerry Michael Mc Mullen NPI is 1366647620, taxonomy code is 101YM0800X Jerry Michael Mc Mullen physically located at 1400 Emeline Ave Bldg K, Santa Cruz CA, 95060-1976. NPI Number Jerry Michael Mc Mullen has the Individual type.

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1366647620 NPI number is provided on an as is basis without warranty of any kind. 1366647620 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Michael Mc Mullen are for informational purposes only.