MALLISSA NEWTON

PORT SAINT LUCIE, FL
NPI1427561463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center Developmental Disabilities
Enumeration Date2017-11-13
Last Update Date2018-12-17
Business Address
MALLISSA NEWTON
2081 SW KASIM TER
PORT SAINT LUCIE, FL 34953-2163
Phone number: 772-333-0728
Mailing Address
MALLISSA NEWTON
2081 SW KASIM TER
PORT SAINT LUCIE, FL 34953-2163
Phone number: