MALLORY MIDDLETON

MONROE, LA
NPI1992367833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA  206724)
Enumeration Date2019-07-01
Last Update Date2020-01-16
Business Address
MALLORY MIDDLETON NP
920 OLIVER RD
MONROE, LA 71201-5702
Phone number: 318-807-6263
Mailing Address
MALLORY MIDDLETON NP
130 DESIARD ST STE 355
MONROE, LA 71201-7363
Phone number: 318-807-7875
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