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Individual

MICHELLE LYNN MALLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LAT, ATC

Contact information

Practice address
3100 CULLEN BLVD STE 1100, HOUSTON, TX 77204-6099
(609) 752-2950
Mailing address
3531 CHARLESTON ST, HOUSTON, TX 77021-1213
(609) 752-2950

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5823
TX

Other

Enumeration date
01/30/2017
Last updated
01/30/2017
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