Individual
MOLLY DOWD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 541-3420
Mailing address
216 CREST AVE, ALAMO, CA 94507-2643
(925) 817-8309
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95022895
CA
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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