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Individual

MRS. MOLLY RUTH WINKLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 CENTURIAN DR STE 110, NEWARK, DE 19713-2154
(302) 355-0900
Mailing address
1 CENTURIAN DR, NEWARK, DE 19713-2137

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant
405300000X
Prevention Professional
C5-0011462
DE

Other

Enumeration date
12/07/2020
Last updated
01/19/2022
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