Mallory Jengo
Mallory Jengo is a Student in an Organized Health Care Education/Training Program in Norfolk, Virginia. Licensed in Virginia. Registered with an NPI since 2025.
- Licensed in
- VA
- In the registry since
- 2025
Practice location Address checks out
825 Fairfax AveNorfolk, VA 23507-1914
Phone: (757) 446-5600
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (VA) |
|---|
Record details
| NPI number | 1336015585 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 15, 2025 |
| Last updated in NPPES | October 15, 2025 |
| Certification date | October 15, 2025 |
| Mailing address | 825 Fairfax Ave, Norfolk, VA 23507-1912 |
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