Individual
MARYELLE GEORGETTE VONLANTHEN
Active
Individual
MARYELLE GEORGETTE VONLANTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C8512
AR
208000000X
Pediatrics Physician
G9896
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
C8512
AR
2080P0206X
Pediatric Gastroenterology Physician
G9896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8512
STATE LICENSE
AR
01
—
G9896
STATE LICENSE
TX
Enumeration date
01/25/2006
Last updated
07/10/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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