person
Preston W Mall, MD
Student in an Organized Health Care Education/Training Program in Baton Rouge, Louisiana
NPI 1316525058

Preston W Mall is a Student in an Organized Health Care Education/Training Program based in Baton Rouge, LA. Preston W Mall practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Preston W Mall is 1316525058 and holds a License No. (Louisiana).

The current practice location address for Preston W Mall is 439 Woodgate Blvd, Baton Rouge, LA and can be reached out via phone at 225-978-9733.

Location: 439 Woodgate Blvd, Baton Rouge, LA, 70808-5423
person
Provider Profile Details
NPI Number
1316525058
Provider Name
Preston W Mall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
439 Woodgate Blvd, Baton Rouge, LA, 70808-5423
Phone Number
225-978-9733
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
439 Woodgate Blvd
City
State
Zip
70808-5423
Phone Number
225-978-9733
Fax Number
person
Provider Business Mailing Address Details
Address
439 Woodgate Blvd
City
State
Zip
70808-5423
Phone Number
225-978-9733
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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