Individual provider · Type 1 NPI

Mary Grace Antoniette Mallari, FNP-C

Family Nurse Practitioner · Los Angeles, CA

NPI number 1548079130 Active

Practice location

1300 N Mission Rd
Los Angeles, CA 90033-1021

Mailing address

22419 Marine Ave
Carson, CA 90745-4048

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95033235 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1548079130

Mary Grace Antoniette Mallari, FNP-C's National Provider Identifier is 1548079130, issued on Jan 7, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 7, 2025.