Malena Bravo

NPI #1255001921 in Valdosta, Georgia

Provider Information

NPI Number: 1255001921
Entity Type: Individual
Name: Malena Bravo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Sep 15, 2021
Last Updated: Sep 15, 2021

Practice Location

Address: 5243 BRANCH POINT DR
City: Valdosta
State: Georgia
ZIP Code: 31605-6570
Phone: (912) 492-2312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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