Individual
MRS. JENNIFER KYRA KOBAYASHI MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 WAPLES MILL RD, SUITE 202, FAIRFAX, VA 22030-6078
(703) 237-2219
Mailing address
11240 WAPLES MILL RD, SUITE 202, FAIRFAX, VA 22030-6078
(703) 237-2219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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