Provider Demographics
NPI:1336820463
Name:MALAGA, MARIA JOY NUNEZ
Entity Type:Individual
Prefix:
First Name:MARIA JOY
Middle Name:NUNEZ
Last Name:MALAGA
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 1:1982 W BAYSHORE RD APT 123
Mailing Address - Street 2:
Mailing Address - City:EAST PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-5201
Mailing Address - Country:US
Mailing Address - Phone:203-570-9825
Mailing Address - Fax:
Practice Address - Street 1:1982 W BAYSHORE RD APT 123
Practice Address - Street 2:
Practice Address - City:EAST PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-5201
Practice Address - Country:US
Practice Address - Phone:203-570-9825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA609649163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice