Quanisha Mallette
NPI #1457922254 in Petersburg, Virginia
Provider Information
- NPI Number
- 1457922254
- Entity Type
- Individual
- Name
- Quanisha Mallette
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jul 2, 2021
- Last Updated
- Jul 2, 2021
Practice Location
- Address
- 806 FORT HENRY ST
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-3021
- Phone
- (804) 712-6963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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