SearchFlorida222Q00000X

Shandra Mallary

NPI 1043959133 · on the registry since 2022 · sole proprietor

Practice

Address
1799 Sw 8th St
Homestead, FL 33030
Phone
(786) 239-3081
Organisation at this address
Intentional Provisions Outreach Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Sex
Female
Record last updated
2022-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida