Mallory, Katina

Mallory, Katina is an sole proprietor health care provider with primary practice located at 621 Russell Dr , Daytona Beach FL 32114-5141. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mallory, Katina can be contacted via phone (386) 871-7368.

Contact Information

Primary practice address
621 Russell Dr Daytona Beach FL 32114-5141
Phone: (386) 871-7368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9180804 Florida

Profile Details

NPI number 1215582663
LBN Legal business name Mallory, Katina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2019
Last updated Aug 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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