NPI 1194550582

Liesl Eva Malone

Practitioner Private Vehicle Myrtle Beach, SC

Practice location

Address: 415 Ocean Creek Dr APT 2149, Myrtle Beach, SC 29572-5785
Phone: (603) 531-1770

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1194550582
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2024
Record last updated: 4 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.