Mallory Mae Shake
Mallory Mae Shake is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
780 Rose StLexington, KY 40536-0001
Phone: (859) 323-6161
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1013745074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 22, 2024 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 22, 2024 |
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