Individual
MRS. GRACE BUETI MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4098 JALAMA RD, LOMPOC, CA 93436-9500
(805) 223-0774
Mailing address
4098 JALAMA RD, LOMPOC, CA 93436-9500
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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