Provider Demographics
NPI:1982889978
Name:MULVIHILL, JANET MARIE (OTHER)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARIE
Last Name:MULVIHILL
Suffix:
Gender:F
Credentials:OTHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 N DOWNS ST STE A
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3371
Mailing Address - Country:US
Mailing Address - Phone:760-375-4357
Mailing Address - Fax:760-371-2446
Practice Address - Street 1:825 N DOWNS ST STE A
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3371
Practice Address - Country:US
Practice Address - Phone:760-375-4357
Practice Address - Fax:760-371-2446
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator