Individual
MALVERN VITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2445 MIDWAY RD # 210, CARROLLTON, TX 75006-2555
(214) 554-6446
(682) 223-9349
Mailing address
306 TRAKEHNER TRL, CELINA, TX 75009-4668
(214) 554-6446
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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