MR. Jason Markos Mallis is a student in an organized health care education training program in Theodore, AL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Jason Markos Mallis NPI is 1831862044. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8355 HOLLOWAY DR N
THEODORE, AL
ZIP 36582-945
Phone: (251) 605-6391
The enumeration date for this NPI number is 7/26/2021 and was last updated on 7/26/2021.