Fanta Mallard, MEDICAL ASSISTANT
NPI #1598490013 in Gary, Indiana
Provider Information
- NPI Number
- 1598490013
- Entity Type
- Individual
- Name
- Fanta Mallard, MEDICAL ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Independent Medical Examiner
- Credential
- MEDICAL ASSISTANT
- Enumeration Date
- Jul 19, 2022
- Last Updated
- Jul 19, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Genetics, Ph.D. Medical Genetics |
| Driver |
| Independent Medical Examiner |
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Organizations
| Provider Name | |
|---|---|
| Family and Alternative Wellness | |
| Northlake International Medical Laboratory |
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