NPI 1366779605

Susan Theresa Mullanack, LMT

Practitioner Homeopath Fort Pierce, FL

Practice location

Address: 4695 Seminole Road, Fort Pierce, FL 34951
Phone: (772) 584-0794

Registered specialties

Homeopath Primary

Other Service Providers Taxonomy 175L00000X Licence MA 54135 (FL)

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Registry record

NPI: 1366779605
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2009
Record last updated: 6 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.