Ceola Mallory
Ceola Mallory is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2019.
- Licensed in
- MI
- In the registry since
- 2019
Practice location Address checks out
5519 Nottingham RdDetroit, MI 48224-3134
Phone: (313) 285-0842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703076321 (MI) |
|---|
Record details
| NPI number | 1952861833 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 25, 2019 |
| Last updated in NPPES | March 25, 2019 |
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