NPI 1770004194

Paige Mallet-Prevost

Practitioner Other Technician Cape Coral, FL

Practice location

Address: 4431 SE 19th Ave, Cape Coral, FL 33904-6038
Phone: (239) 848-8445

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Florida →

Registry record

NPI: 1770004194
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2017
Record last updated: 6 Jul 2017

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.