Mudd Pomerville, Mallory Dawn

Mudd Pomerville, Mallory Dawn is an sole proprietor health care provider with primary practice located at 1538 Bowfin Ct Unit D, Key West FL 33040-6725. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Lactation Consultant is her primary health care specialty. Mudd Pomerville, Mallory Dawn can be contacted via phone (660) 909-2350.

Contact Information

Primary practice address
1538 Bowfin Ct Unit D Key West FL 33040-6725
Phone: (660) 909-2350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X L-41930 Florida
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 5214349 Florida

Profile Details

NPI number 1174941892
LBN Legal business name Mudd Pomerville, Mallory Dawn
Credentials IBCLC, LPN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2014
Last updated Mar 31st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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