Most Relevant Information
Provider Data
| NPI Number: | 1003468588 |
| Provider Name: | MALIK MUNDREY BA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2019 |
| Last Updated: | 07/15/2019 |
Provider Practice Location
301 W 15TH ST
CHESTER
PA
190135300
Practice Location Phone/Fax
| Phone: | 6106198600 |
| Fax: |
Provider Mailing Location
301 W 15TH ST
CHESTER
PA
190135300
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |