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Individual
RACHAEL LYNN MALLORY
Active
Individual
RACHAEL LYNN MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
013509
NY
133V00000X
Registered Dietitian
86068154
CA
133VN1004X
Pediatric Nutrition Registered Dietitian
LD-1215
NM
Other
Enumeration date
09/07/2018
Last updated
07/01/2026
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