person
Mr. Fernando Mallory
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1043384977

Fernando Mallory is a Student in an Organized Health Care Education/Training Program based in Tustin, CA. Fernando Mallory practices in Los Angeles, CA. The NPI Number for Fernando Mallory is 1043384977 and holds a License No. (California).

The current practice location address for Fernando Mallory is 1720 E 120Th St, Los Angeles, CA and can be reached out via phone at 310-668-4272.

Location: 1720 E 120Th St, Los Angeles, CA, 92782-9142
person
Provider Profile Details
NPI Number
1043384977
Provider Name
Fernando Mallory
Credential
Provider Entity Type
Individual
Gender
Male
Address
1720 E 120Th St, Los Angeles, CA, 92782-9142
Phone Number
310-668-4272
Fax Number
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1720 E 120Th St
City
State
Zip
90059-3052
Phone Number
310-668-4272
Fax Number
person
Provider Business Mailing Address Details
Address
1720 E 120Th St
City
State
Zip
90059-3052
Phone Number
310-668-4272
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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