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Individual

MRS. MALLORY G TALLMADGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, ACCNS-AG

Contact information

Practice address
29 S GREENE ST, BALTIMORE, MD 21201-1504
(410) 328-2864
Mailing address
3817 SALEM CHURCH RD, JARRETTSVILLE, MD 21084-1414

Taxonomy

Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
CS00131
MD

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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