Individual
CRIS MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 PLANTAIN TER, PEACHTREE CITY, GA 30269-4026
(651) 332-3188
Mailing address
429 PLANTAIN TER, PEACHTREE CITY, GA 30269-4026
(651) 332-3188
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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