Individual
AMY MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.C.P.
Contact information
Practice address
A10 CALLE PALMAR REAL, URB PALMAR NORTE, CAROLINA, PR 00979
(787) 981-5211
Mailing address
A10 CALLE PALMAR REAL, URB PALMAR NORTE, CAROLINA, PR 00979
(787) 981-5211
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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