Individual
MRS. MALLORY HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
3780 E 15TH ST STE 102, LOVELAND, CO 80538-8768
(970) 461-1975
Mailing address
5225 WHITE WILLOW DR APT C230, FORT COLLINS, CO 80528-5056
(970) 413-3155
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
CO
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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