MARK D MCMULLEN

PROVIDENCE, RI
NPI1689897126
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  RNA36569)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- MARK D MCMULLEN CRNA
101 DUDLEY STREET
PROVIDENCE, RI 02905
Phone number: 401-885-2917
Mailing Address
-- MARK D MCMULLEN CRNA
303 VARNUM DRIVE
EAST GREENWICH, RI 02818
Phone number: 401-885-2917
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