Individual
EVAN MALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 CHARDONNAY AVE, PROSSER, WA 99350-9515
(509) 786-2222
Mailing address
318 EQUUS DR, CAMP HILL, PA 17011-8380
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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