Individual
MARILYN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 HIGH ST, OAKLAND, CA 94619-1807
(510) 261-5200
Mailing address
2873 LINCOLN AVE, RICHMOND, CA 94804-1323
(510) 499-2051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1709
CA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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