Kelly Ann Mall, LVN Valid NPI

Individual provider · Licensed Vocational Nurse · Palm Springs, CA

NPI

1124210620

Type

Individual (Type 1)

Primary specialty

Licensed Vocational Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164X00000X

License number

VN 138503 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-08-17

Last updated

2007-08-17