SearchOhio164W00000X

Iesha Mallory, LPN

NPI 1871099747 · on the registry since 2018 · sole proprietor

Practice

Address
4564 W 174th St
Cleveland, OH 44135
Phone
(216) 854-4966

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio