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Stephanie Malleo

NPI 1790505451 · on the registry since 2024

Practice

Address
318 W California St Ste 102
Nacogdoches, TX 75965
Phone
(602) 341-8629

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas