Individual
MRS. ZAMALLE MALIMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-9600
Mailing address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
314966
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRNCNP021449
OH
Other
Enumeration date
05/11/2017
Last updated
08/04/2017
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