Mallory Colleen Bouque
Mallory Colleen Bouque is a Student in an Organized Health Care Education/Training Program in Garfield Heights, Ohio. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
13201 Granger RdGarfield Heights, OH 44125-1978
Phone: (248) 464-3927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 11235 Bellflower Rd, Cleveland, OH 44106-3932 — (248) 464-3927
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1023861341 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | September 3, 2024 |
| Certification date | September 3, 2024 |
| Mailing address | 13201 Granger Rd, Garfield Heights, OH 44125-1978 |
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