Provider Demographics
NPI:1477246817
Name:HILOWLE, MALYUN S
Entity Type:Individual
Prefix:
First Name:MALYUN
Middle Name:S
Last Name:HILOWLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 W ELLIOT RD APT 1120
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-1160
Mailing Address - Country:US
Mailing Address - Phone:602-810-5817
Mailing Address - Fax:
Practice Address - Street 1:1155 W ELLIOT RD APT 1120
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1160
Practice Address - Country:US
Practice Address - Phone:602-810-5817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)