Mullally, Laurel Jill
Mullally, Laurel Jill is an individual health care provider with primary practice located at 5130 Riverside Dr , Chino CA 91710-4130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mullally, Laurel Jill can be contacted via phone (909) 628-1201.Contact Information
Primary practice address
5130 Riverside Dr
Chino CA 91710-4130
Phone: (909) 628-1201
Fax: (909) 062-8671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 410836 | California |
Profile Details
| NPI number | 1750500104 |
|---|---|
| LBN Legal business name | Mullally, Laurel Jill |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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