Individual
MALIESHA FANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9004 JOHN PAUL CT, LOUISVILLE, KY 40229-1537
(502) 528-9509
Mailing address
9004 JOHN PAUL CT, LOUISVILLE, KY 40229-1537
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4017688
KY
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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