MALLORY BANKSTON

BAKER, LA
NPI1174938211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP07816)
Enumeration Date2014-06-27
Last Update Date2022-08-12
Business Address
Mrs. MALLORY BANKSTON Aprn, fnp-c
12880 PLANK RD
BAKER, LA 70714-4909
Phone number: 225-774-7111
Mailing Address
Mrs. MALLORY BANKSTON Aprn, fnp-c
12880 PLANK RD
BAKER, LA 70714-4909
Phone number: 225-774-7111
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