Individual
MALLARIE NICOLE DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1676 DALLAS DR STE C, BATON ROUGE, LA 70806-1409
(225) 292-5151
Mailing address
1676 DALLAS DR STE C, BATON ROUGE, LA 70806-1409
(225) 292-5151
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
208207
LA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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