Individual
MS. LINDA MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20903 70TH AVE WEST, EDMONDS, WA 98026-7201
(425) 672-3333
(425) 712-0539
Mailing address
P.O. BOX 208, 201 MAPLE, LA CONNER, WA 98257-0208
(360) 333-7188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00022765
WA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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