Individual
JADE RENEE MOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
(562) 591-0346
Mailing address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
(562) 591-0346
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-XNIKEB
CA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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