Individual
KATHLEEN MARY MOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, RNFA
Contact information
Practice address
355 CAMELLIA DR, MANDEVILLE, LA 70471-2905
(985) 626-8807
Mailing address
355 CAMELLIA DR, MANDEVILLE, LA 70471-2905
(985) 626-8807
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN078300
LA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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