Individual
KELSEY ELIZABETH MALLABAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
10 MARSETT RD STE 3, SHELBURNE, VT 05482-7150
(802) 922-9545
Mailing address
10 MARSETT RD STE 3, SHELBURNE, VT 05482-7150
(802) 922-9545
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
063.0113192
VT
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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