Individual
NANCY T MAILLEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1665 SCENIC AVE STE 100, COSTA MESA, CA 92626-1443
(714) 436-4700
Mailing address
1665 SCENIC AVE, STE 100, COSTA MESA, CA 92626-1445
(714) 436-4444
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
41171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41171
—
CA
Enumeration date
10/26/2006
Last updated
08/27/2008
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