SearchOklahoma235Z00000X

Mallory Pace

NPI 1548627771 · on the registry since 2016 · sole proprietor

Practice

Address
7020 Nw 160th St.
Edmond, OK 73013
Phone
(518) 477-0263

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-01

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 Oklahoma