ERNEST MALL

SURPRISE, AZ
NPI1144026998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  243234)
Enumeration Date2025-02-21
Last Update Date2025-02-21
Business Address
Mr. ERNEST MALL NP
14068 W HACKAMORE DR
SURPRISE, AZ 85387-1928
Phone number: 847-558-9908
Mailing Address
Mr. ERNEST MALL NP
14068 W HACKAMORE DR
SURPRISE, AZ 85387-1928
Phone number: 847-558-9908
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