Individual
MISS MILDRED RENEE MALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MAPLETON AVE, BEDFORD, OH 44146-3247
(216) 372-5269
Mailing address
25 MAPLETON AVE, BEDFORD, OH 44146-3247
(216) 372-5269
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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