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Individual

MOLLY MARIE PEDRAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(209) 518-9331
Mailing address
6075 TOWNES WAY, COLUMBUS, GA 31909-6043
(109) 518-9331

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
154672
GA

Other

Enumeration date
11/20/2019
Last updated
11/20/2019
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