Individual provider · Type 1 NPI

Mallory Ava Margherita

Student in an Organized Health Care Education/Training Program · Newark, DE

NPI number 1104555721 Active

Practice location

631 S College Ave
Newark, DE 19716-2010

Call (302) 831-4016 Map

Mailing address

5 Misty Ct
Newark, DE 19702-4726

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104555721

Mallory Ava Margherita's National Provider Identifier is 1104555721, issued on Jun 8, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, DE. The record was last updated on Jun 8, 2022.