Individual
ERNESTO D MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1313 NE 134TH ST, VANCOUVER, WA 98685-2705
(360) 737-9792
(360) 737-6663
Mailing address
1313 NE 134TH ST, VANCOUVER, WA 98685-2705
(360) 737-9792
(360) 737-6663
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60150135
WA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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