Individual
LOREN PETROZELLA MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1105 DIVISION AVE STE 201, TACOMA, WA 98403-1646
(253) 403-9200
Mailing address
1105 DIVISION AVE STE 201, TACOMA, WA 98403-1646
(253) 403-9200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M6887
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD60140509
WA
Other
Enumeration date
09/07/2007
Last updated
09/15/2016
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