Search › Pennsylvania › 374J00000X
Shanika Malcolm
NPI 1366938011 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2522 S Bellford St
Philadelphia, PA 19153 - Phone
- (126) 726-6132
- Organisation at this address
- Institute Of Eternal Wellness
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 174H00000X
174N00000X
251J00000X
253Z00000X - Sex
- Female
- Record last updated
- 2018-07-05
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 Pennsylvania