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Individual

MR. MARK MALENDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13 S TEJON ST, STE, COLORADO SPRINGS, CO 80903-1513
(866) 226-8576
(916) 966-0088
Mailing address
1388 CRYSTAL LAKE DR, SILVER LAKE, OH 44224-2927
(574) 304-0688

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
12/22/2010
Last updated
06/12/2012
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