Individual
JAN MALACARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36075 S RINCON RD, ROSEWOOD RANCH, WICKENBURG, AZ 85390
(928) 684-9594
(480) 607-5119
Mailing address
36075 S RINCON RD, WICKENBURG, AZ 85390
(928) 684-9594
(480) 607-5119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3226
AZ
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
03/29/2006
Last updated
07/26/2013
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