Individual
JOELLA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5438 YORK RD, BALTIMORE, MD 21212-3842
(410) 542-8310
Mailing address
5438 YORK RD, BALTIMORE, MD 21212-3842
(410) 542-8310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07692
MD
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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