Individual
ERICKA ARLENE MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4150 NELSON RD STE E4, LAKE CHARLES, LA 70605-4133
(337) 564-6722
(337) 564-6723
Mailing address
6910 TOM HEBERT RD, LAKE CHARLES, LA 70607-0701
(337) 526-0797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229064
LA
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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