Individual
MICHELLE MALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
544 MULBERRY PARK CIR, DACULA, GA 30019-2057
(347) 891-0266
Mailing address
544 MULBERRY PARK CIR, DACULA, GA 30019-2057
(347) 891-0266
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
169934
GA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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