Individual
MS. MARY ELLEN MALINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
34520 BOB WILSON DR STE 100, SAN DIEGO, CA 92134-2100
(619) 532-7108
(619) 532-7721
Mailing address
333 ORANGE AVE UNIT 5, CORONADO, CA 92118-1425
(619) 437-0553
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP9503
CA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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