Individual
MS. HOLLY MARIE MALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
5000 NEW BEDFORD PL APT 320, WINTER SPRINGS, FL 32708-4693
(561) 685-8165
Mailing address
5000 NEW BEDFORD PL APT 320, WINTER SPRINGS, FL 32708-4693
(561) 685-8165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6224
FL
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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