Individual
GABRIELLE MALLOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NDTR
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(913) 687-4886
Mailing address
1911 S JOSEPHINE ST APT 117, DENVER, CO 80210-4393
(913) 687-4886
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86378942
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2023
Last updated
11/12/2024
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