Individual
THERESA LANIKA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 MEADOWLARK DR, SIERRA VISTA, AZ 85635-3457
(520) 678-1734
Mailing address
2401 MEADOWLARK DR, SIERRA VISTA, AZ 85635-3457
(520) 678-1734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN208203
AZ
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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