MS. Mallory Michelle Light, CRNA
NPI #1093385072 in Mattoon, Illinois
Provider Information
- NPI Number
- 1093385072
- Entity Type
- Individual
- Name
- MS. Mallory Michelle Light, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jun 30, 2021
- Last Updated
- Feb 20, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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