Individual
MALLORY CHRICEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
200 TRAVIS ST #138, LAFAYETTE, LA 70503
(337) 257-3171
Mailing address
136 COUNTRY VILLAGE DR, YOUNGSVILLE, LA 70592
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
205269
LA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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