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Individual

ANJELICA R MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPM, IBCLC

Contact information

Practice address
CARR. 446 KM 17, ISABELA, PR 00662
(206) 551-0463
Mailing address
114 RUTA 4, ISABELA, PR 00662-4758
(206) 853-9107

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315712
176B00000X
Midwife
247200000X
Other Technician
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/11/2006
Last updated
07/24/2024
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