Malissa Descalzo
Student in an Organized Health Care Education/Training Program in Gainesville, FL. Individual provider (NPI-1).
NPI number1962261024
StatusActive
Last updated in NPPESMar 22, 2024
Details
- NPI
- 1962261024
- Entity type
- Individual (NPI-1)
- Name
- Malissa Descalzo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Mar 22, 2024
- Last updated
- Mar 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1147 Nw 64th TerGainesville, FL 32605-4218
Phone 352-333-5984
Mailing address
1147 Nw 64th TerGainesville, FL 32605-4218
Phone 352-333-5984
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