MALLORY RAE VANDEVENDER

FLOWOOD, MS
NPI1578218616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  905114)
Enumeration Date2022-02-17
Last Update Date2022-02-17
Business Address
MALLORY RAE VANDEVENDER FNP-C
4290 LAKELAND DR STE A
FLOWOOD, MS 39232-9571
Phone number: 601-932-0083
Mailing Address
MALLORY RAE VANDEVENDER FNP-C
3000 VOLLEY CAMPBELL RD
TERRY, MS 39170-9057
Phone number: 601-201-0163
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