Individual
JENNIFER LYNN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14677 MERRALL AVE, FONTANA, CA 92335
(951) 643-2340
Mailing address
9828 YUCAIPA RIDGE RD, YUCAIPA, CA 92399-2971
(909) 521-6845
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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