Individual
MRS. MALLORY SPARACELLO SOTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
163 BURGIN AVE, BATON ROUGE, LA 70808-4925
(225) 313-4560
Mailing address
6558 CLARK PLANTATION DR, GONZALES, LA 70737-8595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226268
LA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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