SearchWashington172V00000X

Jennifer Malo, LMP

NPI 1568650182 · on the registry since 2007 · sole proprietor

Practice

Address
18223 80th Avenue Ct E
Puyallup, WA 98375
Phone
(253) 875-9504

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-10-09

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 Washington