Individual
MS. TRENA MARIE MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8424 E SHEA BLVD, #101, SCOTTSDALE, AZ 85260-6662
(480) 478-6620
(460) 304-3444
Mailing address
6170 W LAKE MEAD BLVD, #461 PMB 2335, LAS VEGAS, NV 89108-2661
(702) 217-4808
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0980
AZ
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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