Individual
MOLLY MAFFEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N FAIRVIEW ST, 140 WILLIS HEALTH PROFESSIONAL BUILDING, LOCK HAVEN, PA 17745-2342
(804) 852-4573
Mailing address
140 WILLIS HEALTH BUILDING, LOCK HAVEN UNIVERSITY, LOCK HAVEN, PA 17745
(804) 852-4573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002197
VA
Other
Enumeration date
04/09/2015
Last updated
03/01/2016
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