Individual
ASHLEY NICOLE MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
734 N FRANKLIN ST, LANCASTER, PA 17602-2176
(717) 295-2323
Mailing address
625 S GODDARD BLVD APT 105, KING OF PRUSSIA, PA 19406-2017
(484) 252-9542
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA062027
PA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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