Individual
MARIA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
1868 TULLAGEE AVE, MELBOURNE, FL 32940-6037
(347) 725-6426
Mailing address
1868 TULLAGEE AVE, MELBOURNE, FL 32940-6037
(347) 725-6426
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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