Individual
CATHERINE MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1986 WILLOWAY CT S, COLUMBUS, OH 43220-2472
(304) 488-6197
Mailing address
1986 WILLOWAY CT S, COLUMBUS, OH 43220-2472
(304) 488-6197
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055698
—
OH
Enumeration date
06/17/2014
Last updated
06/17/2014
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