Mallard, Robert

Mallard, Robert is an individual health care provider with primary practice located at 762 Cypress St , San Dimas CA 91773-3505. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Mallard, Robert can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
762 Cypress St San Dimas CA 91773-3505
Phone: (909) 599-1227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1750820890
LBN Legal business name Mallard, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2017
Last updated Feb 22nd, 2017 - about 9 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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