Individual
ELIZABETT MELIZA MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(210) 520-6517
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(210) 520-6517
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
—
TX
156FX1800X
Optician
Primary
—
TX
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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