Individual
MS. MALVENA M MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S BELMONT ST, YORK, PA 17403-2608
(717) 849-5507
(717) 849-5693
Mailing address
325 S BELMONT ST, YORK, PA 17403-2608
(717) 849-5507
(717) 849-5693
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DN002708
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN002708
LICENSE NUMBER
PA
Enumeration date
04/18/2011
Last updated
04/18/2011
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