Individual
MOLLY PATRICIA HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
407 S SCHWARTZ AVE, SUITE 101, FARMINGTON, NM 87401-5925
(505) 609-6595
(505) 609-6579
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2015-0028
NM
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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