Individual
MRS. DENISE RENEE MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES, FOUST HALL 108, MT PLEASANT, MI 48859-0001
(989) 774-1748
(989) 774-4335
Mailing address
1531 N LINCOLN RD, MT PLEASANT, MI 48858-9794
(989) 433-2186
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703082517
MI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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