NPI 1437521721

Jada McDonald O'Malley, CFM

Practitioner Mastectomy Fitter Wilmington, NC

Practice location

Address: 1140 Shipyard Blvd, Wilmington, NC 28412-6439
Phone: (910) 332-0179
Fax: (910) 332-0671

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence CFM02960 (NC)

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Registry record

NPI: 1437521721
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2015
Record last updated: 26 Oct 2015

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.