Individual
MS. NANCY LUCILLE MALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
4217 BROOKFIELD DR, KENSINGTON, MD 20895-4011
(301) 897-3533
Mailing address
4217 BROOKFIELD DR, KENSINGTON, MD 20895-4011
(301) 897-3533
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11098812
MD
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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