Individual
PRECIOUS MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 780-5397
Mailing address
801 COVENTRY LN APT 107, NORWOOD, MA 02062-2400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN90076
MA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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