Individual
LAURA ANN MALLALEY
Active
Individual
LAURA ANN MALLALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
148579
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001847
CA
Other
Enumeration date
04/01/2020
Last updated
10/01/2022
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