Individual
ERICA MALAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E ELM ST APT 5A, CHICAGO, IL 60611-1007
(706) 255-5179
Mailing address
30 E ELM ST APT 5A, CHICAGO, IL 60611-1007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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