MALLORY MANCUSO

LAFAYETTE, LA
NPI1114491685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-01-17
Last Update Date2019-01-17
Business Address
MALLORY MANCUSO
110 LANA DR
LAFAYETTE, LA 70503-4505
Phone number: 504-312-0218
Mailing Address
MALLORY MANCUSO
110 LANA DR
LAFAYETTE, LA 70503-4505
Phone number: