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Individual

EMILY ANN MALM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
12291 WASHINGTON BLVD, SUITE 303, WHITTIER, CA 90606-2500
(562) 698-6296
Mailing address
12291 WASHINGTON BLVD, SUITE 303, WHITTIER, CA 90606-2500
(562) 698-6296

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95003983
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33-0150193
MEDI-CAL
CA
Enumeration date
02/04/2010
Last updated
07/06/2016
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