Individual
MR. DARREL PAUL MALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6171 W CHARLESTON BLVD, BUILDING #14, LAS VEGAS, NV 89146-1126
(702) 486-7667
Mailing address
1701 ROCK SPRINGS DR, APARTMENT #2144, LAS VEGAS, NV 89128-3126
(702) 553-6139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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