FERNANDO MALLORY

LOS ANGELES, CA
NPI1043384977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
Mr. FERNANDO MALLORY
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 310-668-4272
Mailing Address
Mr. FERNANDO MALLORY
13348 SAVANNA
TUSTIN, CA 92782-9142
Phone number: 714-505-3344
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