Individual
JANYNE LANDRA MALLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BOULDER FALLS DR APT C312, LEBANON, OR 97355-2884
(503) 367-1628
Mailing address
1 BAYLOR PLZ, HOUSTON, TX 77030-3411
(503) 367-1628
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A198123
DRIVERS LICENSE
OR
Enumeration date
04/02/2018
Last updated
05/02/2025
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