Individual
ZACHARY MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15700 S EDON RD, CAMDEN, MI 49232-9588
(517) 398-5688
Mailing address
15700 S EDON RD, CAMDEN, MI 49232-9588
(517) 398-5688
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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