MALI HIM

ROCKFORD, IL
NPI1295031102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301112477)
Enumeration Date2011-02-10
Last Update Date2021-02-26
Business Address
MALI HIM
2404 CHARLES ST
ROCKFORD, IL 61108-1602
Phone number: 779-696-7910
Mailing Address
MALI HIM
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: