SearchCalifornia2081S0010X

Malery States

NPI 1528820768 · on the registry since 2024

Practice

Address
1543 Augusta Pointe Dr
Ripon, CA 95366
Phone
(209) 404-2211

Registry record

Primary taxonomy
2081S0010X
2081S0010X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-24

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 California