Individual
MALLORY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3499 PADDINGTON DR, COLUMBUS, IN 47203-4330
(812) 344-6522
Mailing address
3499 PADDINGTON DR, COLUMBUS, IN 47203-4330
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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