Individual
DOROTEA C MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
44 CAMPO TER, RED BANK, NJ 07701-5301
(732) 299-5079
Mailing address
44 CAMPO TER, RED BANK, NJ 07701-5301
(732) 299-5079
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
328176
NJ
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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