Azria Malloy

NPI #1053185462 in New Britain, Connecticut

Provider Information

NPI Number: 1053185462
Entity Type: Individual
Name: Azria Malloy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 7, 2023
Last Updated: Nov 7, 2023

Practice Location

Address: 1615 STANLEY ST
City: New Britain
State: Connecticut
ZIP Code: 06050-2439
Phone: (860) 832-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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