Individual
MALLORY LAIN NAVARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
614 HUTCHINSON ST, MANDEVILLE, LA 70448-4804
(985) 718-7564
Mailing address
614 HUTCHINSON ST, MANDEVILLE, LA 70448-4804
(985) 718-7564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208709
KY
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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