Individual
MRS. MALLORY K CANTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4430 VETERANS MEMORIAL BLVD, METAIRIE, LA 70006-5329
(504) 433-7304
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2483
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08651
LA
Other
Enumeration date
01/02/2016
Last updated
09/11/2025
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