Search › Arkansas › 183500000X

Donna Mallard

NPI 1942654603 · on the registry since 2016 · sole proprietor

Practice

Address
1 Kmart Plz
Cabot, AR 72023
Phone
(501) 843-6265
Fax
(847) 396-2761
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-19

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 Arkansas