Lookup NPI Numbers from the NPI Registry
NPI Profile for LATEASHA MCMULLEN in STATESVILLE, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1306329024 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/09/2018 | |
| Last updated | 01/08/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LATEASHA MCMULLEN
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LATEASHA MCMULLEN