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Individual

MRS. PATRICIA M MALLOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1728 GREATWOOD DRIVE, FLORENCE, KY 41042
(951) 522-4672
Mailing address
1728 GREATWOOD DRIVE, FLORENCE, KY 41042
(951) 522-4672

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1139622
KY
163W00000X
Registered Nurse
RN.399290
OH
163WC0400X
Case Management Registered Nurse
RN.399290
OH
164W00000X
Licensed Practical Nurse
PN.144965-MEDS
OH
164X00000X
Licensed Vocational Nurse
224528
TX
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/18/2012
Last updated
08/05/2021
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