Individual
DR. DEBORAH MALKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
108B CAMINO DEL CANON, CUNDIYO, NM 87522-9449
(505) 351-9925
Mailing address
108B CAMINO DEL CANON, CUNDIYO, NM 87522-9449
(505) 351-9925
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
92-291
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G750860
LICENSE
CA
Enumeration date
01/18/2007
Last updated
05/01/2022
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