SearchVirginia343900000X

Quanisha Mallette

NPI 1457922254 · on the registry since 2021 · sole proprietor

Practice

Address
806 Fort Henry St
Petersburg, VA 23803
Phone
(804) 712-6963

Registry record

Primary taxonomy
343900000X
343900000X
Sex
Female
Record last updated
2021-07-02

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 Virginia