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Jais Malcolm
NPI 1588131676 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1000 S Lincoln Ave
Lebanon, PA 17042 - Phone
- (717) 383-1780
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-27
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 Pennsylvania