Individual
HEATHER MALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 COLLEGE DR STE 2A, VINELAND, NJ 08360-6933
(856) 641-8680
Mailing address
148 ALDER AVE, EGG HARBOR TWP, NJ 08234-5331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00609800
NJ
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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