Bouque, Mallory Colleen

Bouque, Mallory Colleen is an sole proprietor health care provider with primary practice located at 13201 Granger Rd , Garfield Heights OH 44125-1978. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Bouque, Mallory Colleen can be contacted via phone (248) 464-3927.

Contact Information

Primary practice address
13201 Granger Rd Garfield Heights OH 44125-1978
Phone: (248) 464-3927
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1023861341
LBN Legal business name Bouque, Mallory Colleen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2024
Last updated Sep 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers