Individual
VICTORIA MALLOCH DESALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
520 W INDIAN AVE, BREWSTER, WA 98812
(509) 689-2525
(509) 689-3247
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-5700
(509) 422-7680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60758226
WA
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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