Individual
MELLINDA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12101 ROBERTSON AVE, CLEVELAND, OH 44105-6230
(216) 296-2088
Mailing address
12101 ROBERTSON AVE, CLEVELAND, OH 44105-6230
(216) 296-2088
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000869
OH
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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