Individual
MALLORY ENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CPM, LLM
Contact information
Practice address
2104 EDWARDS RD, ALMA, AR 72921-8557
(916) 792-6716
Mailing address
2104 EDWARDS RD, ALMA, AR 72921-8557
(916) 792-6716
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-142573
CA
Other
Enumeration date
04/20/2020
Last updated
07/27/2022
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