| Doctor Name: | MR. REYNALDO G. MALONJAO |
| NPI Number: | 1932233871 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LDO |
| License Number: | S5371 |
| Business Practice Address: | 6079 Brandt Pike Huber Heights, OH - 454244014 |
| Business Phone Number: | 9372378669 |
| Business Fax Number: | 9372379019 |
| Mailing Address: | 6079 Brandt Pike, HUBER HEIGHTS |
| State: | OH |
| Postal Code: | 454244014 |
| Phone Number: | 9372378669 |
| Fax Number: | 9372379019 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156F00000X |
| License Number: | S5371 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |