Individual
YASHONIA MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 GREEN ST SE, #303, WASHINGTON, DC 20020-7320
(202) 889-0740
Mailing address
2304 GREEN ST SE APT 303, WASHINGTON, DC 20020-7320
(202) 889-0740
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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