Individual
CHRISTOPHER ROBERT MALLONEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 MONTANA DR, CONWAY, AR 72034-3396
(760) 819-2650
Mailing address
1125 MONTANA DR, CONWAY, AR 72034-3396
(760) 819-2650
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R102152
AR
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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