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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLOTTE MARY MALLARD

Active Sole Proprietor

CHARLOTTE MARY MALLARD is a Foot & Ankle Surgery healthcare provider located in MOUNTAIN HOUSE, California. NPI 1275380636 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · MOUNTAIN HOUSE, CA

Registration Details

NPI Number
1275380636
Provider Type
Individual
Gender
Female
NPI Issued
May 3, 2024 (2.2687520720871 yrs)
Last Updated
Oct 24, 2024
Sole Proprietor
Yes

Practice Information

Address
292 ASHLEE AVE
MOUNTAIN HOUSE, CA, 953911138
Browse CA providers · Browse ZIP 95391
Phone
2098799570
Primary Specialty
Foot & Ankle Surgery
3747P1801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.