Terry Ray Mallory

NPI 1295091585 - Counselor - 101YM0800X

NPI Details
NPI 1295091585
Gender Male
Enumeration Date 04/11/2012
Last Updated 04/11/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
11428 N 53RD ST
TEMPLE TERRACE FL, 33617-2216, US
Phone (813) 374-9416
Fax
Business Location
11428 N 53RD ST
TAMPA FL, 33617-2216, US
Phone (813) 374-9416
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
Remove 1295091585 NPI Number
 

According to our database, Mr. Terry Ray Mallory NPI is 1295091585, taxonomy code is 101YM0800X Terry Ray Mallory physically located at 11428 N 53rd St, Temple Terrace FL, 33617-2216. NPI Number Terry Ray Mallory has the Individual type.

Sponsored links

1295091585 NPI number is provided on an as is basis without warranty of any kind. 1295091585 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Ray Mallory are for informational purposes only.