TIFFANY MALLICK, ATC
Specialist
Active
Individual
NPI: 1497103543
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | - |
Frequently Asked Questions
NPI 1497103543 is the National Provider Identifier for TIFFANY MALLICK, ATC, a Specialist provider located in La Verne, CA. This NPI was enumerated on May 31, 2016.
TIFFANY MALLICK, ATC practices at 5092 OAK BEND DR, La Verne, CA 91750.
Quick Facts
- NPI
- 1497103543
- Type
- Individual
- Enumerated
- May 31, 2016
- Last Updated
- May 31, 2016
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