NPI 1275004996

Christopher Malloy

Practitioner Contractor North Waterboro, ME

Practice location

Address: 85 Sequoia Ln, North Waterboro, ME 04061-4946
Phone: (207) 808-1446

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1275004996
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2018
Record last updated: 6 Dec 2018

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.