Individual
JENNIFER L MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
418 CHESTNUT ST, UNION, NJ 07083-9306
(908) 810-9002
(908) 810-9012
Mailing address
418 CHESTNUT ST, UNION, NJ 07083-9306
(908) 810-9002
(908) 810-9012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00748300
NJ
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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