Individual
MALY VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2057 N PARK DR APT 6, SAINT PAUL, MN 55119-6803
(651) 447-0744
Mailing address
2057 N PARK DR APT 6, SAINT PAUL, MN 55119-6803
(651) 447-0744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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