MALLORY MAE SHAKE

LEXINGTON, KY
NPI1013745074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
MALLORY MAE SHAKE
780 ROSE STREET
LEXINGTON, KY 40536-0001
Phone number: 859-323-6161
Mailing Address
MALLORY MAE SHAKE
780 ROSE STREET
LEXINGTON, KY 40536-0001
Phone number: