MALLORY KATHERINE WILLENBORG

COLTON, CA
NPI1598213886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  53867)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  9109799)
Enumeration Date2016-09-14
Last Update Date2016-12-10
Business Address
MISS MALLORY KATHERINE WILLENBORG PA-C
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1000
Mailing Address
MISS MALLORY KATHERINE WILLENBORG PA-C
1255 NE 95TH ST
MIAMI SHORES, FL 33138-2549
Phone number: 305-450-6031