Provider Demographics
NPI:1619373891
Name:MULFORD, JENNIFER MELANIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MELANIE
Last Name:MULFORD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 GIRARD AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5125
Mailing Address - Country:US
Mailing Address - Phone:858-255-8671
Mailing Address - Fax:858-255-8716
Practice Address - Street 1:7301 GIRARD AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-5125
Practice Address - Country:US
Practice Address - Phone:858-255-8671
Practice Address - Fax:858-255-8716
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor