AUTUM MARIE MALLICK

HOLT, FL
NPI1578108627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Additional Taxonomies372500000X Chore Provider
Enumeration Date2019-11-13
Last Update Date2019-11-14
Business Address
AUTUM MARIE MALLICK
7165 TEE DON CT
HOLT, FL 32564-8925
Phone number: 850-313-9846
Mailing Address
AUTUM MARIE MALLICK
7165 TEE DON CT
HOLT, FL 32564-8925
Phone number: 850-313-9846