Individual
SHIRLYN R MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R
Contact information
Practice address
264 N WESTWOOD ST, PORTERVILLE, CA 93257-2542
(559) 737-3790
Mailing address
6347 W JUDY AVE, VISALIA, CA 93277-0814
(559) 737-3790
(559) 735-0873
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6265
CA
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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