Most Relevant Information
Provider Data
| NPI Number: | 1003364738 |
| Provider Name: | YASHONIA MALLORY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2016 |
| Last Updated: | 09/11/2016 |
Provider Practice Location
2304 GREEN ST SE
#303
WASHINGTON
DC
200207320
Practice Location Phone/Fax
| Phone: | 2028890740 |
| Fax: |
Provider Mailing Location
2304 GREEN ST SE APT 303
WASHINGTON
DC
200207320
Provider Mailing Phone/Fax
| Phone: | 2028890740 |
| Fax: |