Individual
MALLORY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7880 LINCOLE PL, LISBON, OH 44432-8322
(330) 424-7221
Mailing address
954 ADAMS AVE, SALEM, OH 44460-4063
(330) 692-3811
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.023587
OH
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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