Individual
DIONNE MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3838 N CAUSEWAY BLVD, METAIRIE, LA 70002-8194
(504) 849-4500
Mailing address
PO BOX 206, HARVEY, LA 70059-0206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO9880
LA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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