| Doctor Name: | JAN MALACARA |
| NPI Number: | 1124089230 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 36075 S Rincon Rd Rosewood Ranch Wickenburg, AZ - 85390 |
| Business Phone Number: | 9286849594 |
| Business Fax Number: | 4806075119 |
| Mailing Address: | 36075 S Rincon Rd, WICKENBURG |
| State: | AZ |
| Postal Code: | 85390 |
| Phone Number: | 9286849594 |
| Fax Number: | 4806075119 |
| NPI Enumeration Date: | 03/29/2006 |
| NPI Last Update Date: | 07/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |