David, Mallory

David, Mallory is an sole proprietor health care provider with primary practice located at 23180 Hemlock Ave Ste 200 , Moreno Valley CA 92557-8001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. David, Mallory can be contacted via phone (951) 221-3988.

Contact Information

Primary practice address
23180 Hemlock Ave Ste 200 Moreno Valley CA 92557-8001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95029041 California

Profile Details

NPI number 1639925399
LBN Legal business name David, Mallory
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2024
Last updated Apr 24th, 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.

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