Individual
VANESSA RENE MALOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
701 W 101ST PL S APT 815, JENKS, OK 74037-3546
(619) 340-6291
Mailing address
701 W 101ST PL S APT 815, JENKS, OK 74037-3546
(619) 340-6291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
205821
OK
Other
Enumeration date
09/12/2014
Last updated
07/31/2025
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