STACY S MALLARE

COLUMBIA, MD
NPI1639540420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R186082)
Enumeration Date2015-10-19
Last Update Date2015-10-19
Business Address
-- STACY S MALLARE
10954 HILLTOP LN
COLUMBIA, MD 21044-3780
Phone number: 410-718-3213
Mailing Address
-- STACY S MALLARE
10954 HILLTOP LN
COLUMBIA, MD 21044-3780
Phone number: 410-718-3213
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