Individual
JENNIFER LOUISE MALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
18223 80TH AVENUE CT E, PUYALLUP, WA 98375-9719
(253) 875-9504
Mailing address
18223 80TH AVENUE CT E, PUYALLUP, WA 98375-9719
(253) 875-9504
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA00021417
WA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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