SearchOhio342000000X

Antwone Mallory, STNA-OHIO

NPI 1568329654 · on the registry since 2026 · sole proprietor

Practice

Address
Po Box 13222
Dayton, OH 45413
Phone
(937) 269-7554

Registry record

Primary taxonomy
342000000X
342000000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-01

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 Ohio