Individual
MALLORY AVA MARGHERITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 831-4016
Mailing address
5 MISTY CT, NEWARK, DE 19702-4726
(302) 298-2386
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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