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John Mallory
Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia
NPI 1891126678

John Mallory is a Student in an Organized Health Care Education/Training Program based in Denver, VA. John Mallory practices in Portsmouth, VA. The NPI Number for John Mallory is 1891126678 and holds a License No. (Virginia).

The current practice location address for John Mallory is Naval Medical Center Portsmouth, Portsmouth, VA and can be reached out via phone at 757-953-5259.

Location: Naval Medical Center Portsmouth, Portsmouth, VA, 80208-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891126678
Provider Name
John Mallory
Credential
Provider Entity Type
Individual
Gender
Male
Address
Naval Medical Center Portsmouth, Portsmouth, VA, 80208-0001
Phone Number
757-953-5259
Fax Number
Provider Enumeration Date
12/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Naval Medical Center Portsmouth
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-953-5259
Fax Number
person
Provider Business Mailing Address Details
Address
Naval Medical Center Portsmouth
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-953-5259
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Colorado)
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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