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Individual
JOEL MALLARI
Active
Individual
JOEL MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, CNS
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95010692
CA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
3513
CA
Other
Enumeration date
07/31/2018
Last updated
06/11/2019
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