Jaclyn Lenai Mallett, LPN

NPI #1124375845 in Tipp City, Ohio

Provider Information

NPI Number
1124375845
Entity Type
Individual
Name
Jaclyn Lenai Mallett, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Aug 13, 2012
Last Updated
Aug 13, 2012

Practice Location

Address
750 CHEYENNE PL
State
Ohio
ZIP Code
45371-1507
Phone
(757) 770-7860

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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