Most Relevant Information
Provider Data
| NPI Number: | 1003418054 |
| Provider Name: | THOMAS MCMULLEN JR |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2020 |
| Last Updated: | 11/13/2020 |
Provider Practice Location
1311 DENISE DR
KENT
OH
442401606
Practice Location Phone/Fax
| Phone: | 3305712277 |
| Fax: |
Provider Mailing Location
1311 DENISE DR
KENT
OH
442401606
Provider Mailing Phone/Fax
| Phone: | 3305712277 |
| Fax: |