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Victoria Mallow

NPI 1225405996 · on the registry since 2015 · sole proprietor

Practice

Address
301 E Yamato Rd
Boca Raton, FL 33431
Phone
(914) 447-1792
Organisation at this address
Dietvana Pllc
Restore Pelvic Health & Rehab Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 10 N Greene St, Baltimore, MD

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Also registered as
225100000X
225100000X
Licence states on file
MD, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-30

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