Jessie E. Mallalieu, P.A.-C.

NPI #1073669784 in Frederick, Maryland

Provider Information

NPI Number: 1073669784
Entity Type: Individual
Name: Jessie E. Mallalieu, P.A.-C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C.
Enumeration Date: Jan 26, 2007
Last Updated: Mar 22, 2013

Practice Location

Address: 63 THOMAS JOHNSON DR
Address 2: SUITE B
City: Frederick
State: Maryland
ZIP Code: 21702-4384
Phone: (301) 698-2424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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