Individual
MRS. MICHELLE SMOYER-MALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
715 PLANK RD, WEBSTER, NY 14580-2264
(585) 670-4054
Mailing address
119 SOUTH AVE, WEBSTER, NY 14580-3559
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
490512
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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