LACONDRA MALCOM

PASCAGOULA, MS
NPI1487012043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  R869844)
Enumeration Date2016-02-10
Last Update Date2020-04-27
Business Address
LACONDRA MALCOM PMHNP
4502 VEGA ST
PASCAGOULA, MS 39581-5305
Phone number: 228-696-9224
Mailing Address
LACONDRA MALCOM PMHNP
4502 LT EUGENE J MAJURE DR
PASCAGOULA, MS 39581-5305
Phone number: 228-696-9224
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