Individual
MELODY JEAN MOORE MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 ALDRICH AVE S, MINNEAPOLIS, MN 55405-3003
(612) 223-8898
Mailing address
2000 ALDRICH AVE S, MINNEAPOLIS, MN 55405-3003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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