Individual
MALLORI M FLETCHER
Active
Individual
MALLORI M FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
AP08798
LA
363L00000X
Nurse Practitioner
AP08798
LA
Other
Enumeration date
07/19/2016
Last updated
02/05/2020
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