Individual
MRS. JACQUE MARIE MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN RN
Contact information
Practice address
745 RUSSEL ST, NWCOVNA PUBLIC HEALTH OFFICE, CRAIG, CO 81625
(970) 824-8233
(970) 824-2548
Mailing address
745 RUSSEL ST, CRAIG, CO 81625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
44599
CO
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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