Individual provider · Type 1 NPI

Liesl Eva Malone

Private Vehicle · Myrtle Beach, SC

NPI number 1194550582 Active

Practice location

415 Ocean Creek Dr Apt 2149
Myrtle Beach, SC 29572-5785

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1194550582

Liesl Eva Malone's National Provider Identifier is 1194550582, issued on Sep 4, 2024. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 4, 2024.