Individual
JOEL MALLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 N CONCORD DR, JANESVILLE, WI 53545-0510
(608) 563-1987
Mailing address
2222 N CONCORD DR, JANESVILLE, WI 53545-0510
(608) 563-1987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128177-30
WI
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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