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Dayron Ebro Malloy

Home Health Aide in Verona, PA. Individual provider (NPI-1).

NPI number1811587728
StatusActive
Last updated in NPPESJan 25, 2021

Details

NPI
1811587728
Entity type
Individual (NPI-1)
Name
Dayron Ebro Malloy
Sex
Male
Sole proprietor
No
Enumeration date
Jan 25, 2021
Certification date
Jan 25, 2021
Last updated
Jan 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–PAYes

Practice location

125 Jeanette Dr
Verona, PA 15147-1536

Phone 724-732-2428

Mailing address

125 Jeanette Dr
Verona, PA 15147-1536

Phone 724-732-2428

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