About Fanta Mallard
She is located at 578 Tennessee St, , in Gary, IN 46402. Appointment can be made via the phone number (312) 241-3044.
Fanta Mallard - Address, Phone & Website
578 Tennessee St, , Gary, IN 46402
(312) 241-3044
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Independent Medical Examiner Physician | 202C00000X |
| No | Ph.D. Medical Genetics | 170100000X |
| No | Driver | 172A00000X |
Licenses
| State | License Number |
|---|---|
| Indiana | M6S9Q7R7 |