Individual
MOLLY MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
430 E LAURIDSEN BLVD STE 113, PORT ANGELES, WA 98362-7978
(360) 457-7576
Mailing address
1134 E 3RD ST, PORT ANGELES, WA 98362-4402
(360) 774-6184
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60437812
WA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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