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Organization
JAQU AND CAIT
Active
Organization
JAQU AND CAIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN J MOLLOY LMT (CEO)
(310) 872-9529
Entity
Organization
Contact information
Practice address
2513 DALEMEAD ST, TORRANCE, CA 90505-7024
(310) 872-9529
Mailing address
2513 DALEMEAD ST, TORRANCE, CA 90505-7024
(310) 872-9529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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