Individual
MALLERY CHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 PINSBARRI DRIVE, ACOMA, NM 87034
(505) 552-5162
Mailing address
PO BOX 354, ACOMA, NM 87034-0354
(505) 552-5162
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
03/21/2024
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