NPI 1457922254
Quanisha Mallette
Practice location
- Address
- 806 Fort Henry St, Petersburg, VA 23803-3021
- Phone
- (804) 712-6963
- Mailing address
- PO Box 1002, Petersburg, VA 23804-1002
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1457922254
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Jul 2021
- Record last updated
- 2 Jul 2021
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.