Individual
ANTWONE S MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA-OHIO
Contact information
Practice address
2980 STOP 8 RD APT 17, DAYTON, OH 45414-3139
(937) 269-7554
Mailing address
2980 STOP 8 RD APT 17, DAYTON, OH 45414-3139
(937) 269-7554
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602858401024
OH
Other
Enumeration date
01/08/2026
Last updated
01/11/2026
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