Individual
ROCHELLE MALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 SHIAWASSEE AVE, FAIRLAWN, OH 44333-3750
(330) 813-0808
Mailing address
308 SHIAWASSEE AVE, FAIRLAWN, OH 44333-3750
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
NV935576
OH
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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