MS. Beverly Jean Malm, IDC
NPI #1831395540 in Diamondhead, Mississippi
Provider Information
- NPI Number
- 1831395540
- Entity Type
- Individual
- Name
- MS. Beverly Jean Malm, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jun 21, 2007
- Last Updated
- Jul 15, 2008
Practice Location
- Address
- 8816 MANOO ST
- City
- Diamondhead
- State
- Mississippi
- ZIP Code
- 39525-4221
- Phone
- (228) 223-3763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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