Tara Mallory
NPI #1982563433 in Roscommon, Michigan
Provider Information
- NPI Number
- 1982563433
- Entity Type
- Individual
- Name
- Tara Mallory
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 20, 2026
- Last Updated
- Jan 20, 2026
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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