Individual
MRS. LINDA CAROL MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1225 CADBURY RDG, QUINCY, IL 62305-6125
(573) 864-1052
Mailing address
1225 CADBURY RDG, QUINCY, IL 62305-6125
(573) 864-1052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.304561
IL
251J00000X
Nursing Care Agency
Primary
041.304561
IL
Other
Enumeration date
06/10/2024
Last updated
07/12/2024
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