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Individual

ERICA ROSE MOLDENHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1630 CREST DR, ENCINITAS, CA 92024-5211
(760) 803-8344
Mailing address
1630 CREST DR, ENCINITAS, CA 92024-5211
(760) 803-8344

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
261OR0400X
CA

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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