Individual
MRS. APRIL ELAINE MALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1307 15TH ST, NIAGARA FALLS, NY 14301-1243
(716) 628-8503
Mailing address
1307 15TH ST, NIAGARA FALLS, NY 14301-1243
(716) 628-8503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272731-1
NY
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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