Mallissa Newton
NPI #1427561463 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1427561463
- Entity Type
- Individual
- Name
- Mallissa Newton
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Nov 13, 2017
- Last Updated
- Dec 17, 2018
Practice Location
- Address
- 2081 SW KASIM TER
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34953-2163
- Phone
- (772) 333-0728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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