Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD204880 | LA |
NPI | 1013231034 |
---|---|
Provider Name | Dr. Christel Cary Malinski |
First Address | Metairie, LA 70003-1939 |
Second Address | Covington, LA 70433-7237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2010 |
Last Update Date | 12/02/2019 |