Individual
MALLORY TORKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 WESLEY PL, TUSCALOOSA, AL 35401-2068
(208) 949-3273
Mailing address
430 WESLEY PL, TUSCALOOSA, AL 35401-2068
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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