Search › New Jersey › 103K00000X
Tyis Mullen, BA
NPI 1467014803 · on the registry since 2019
Practice
- Address
- 214 Washington Ave
Union, NJ 07083 - Phone
- (410) 567-6139
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106E00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey