Individual
MR. DANNY ARTNETTE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1213 E CLAY ST, RICHMOND, VA 23298-5071
(804) 828-9000
Mailing address
2417 W MAIN ST, RICHMOND, VA 23220-4436
(804) 502-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024179449
VA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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