Individual
BRENT MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44421 10TH ST W STE A, LANCASTER, CA 93534-3335
(818) 654-3912
Mailing address
44421 10TH ST W STE A, LANCASTER, CA 93534-3335
(818) 654-3912
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
02/17/2023
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