Individual
MRS. NICOLE ROSE MALLON-LOEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
821 CLONMEL ST, DUQUESNE, PA 15110-1503
(412) 628-0101
Mailing address
821 CLONMEL ST, DUQUESNE, PA 15110-1503
(412) 628-0101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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