Individual
MISS STEPHANIE S MALLEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 W CALIFORNIA ST STE 102, NACOGDOCHES, TX 75965-3445
(602) 341-8629
Mailing address
318 W CALIFORNIA ST STE 102, NACOGDOCHES, TX 75965-3445
(602) 341-8629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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