Stephanie Mallen, CNIM

NPI #1821271156 in Broomfield, Colorado

Provider Information

NPI Number: 1821271156
Entity Type: Individual
Name: Stephanie Mallen, CNIM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: CNIM
Enumeration Date: Dec 10, 2007
Last Updated: Dec 10, 2007

Practice Location

Address: 390 INTERLOCKEN CRES
Address 2: STE. 890
City: Broomfield
State: Colorado
ZIP Code: 80021-8038
Phone: (303) 339-1499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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