Individual
KENDRA MOLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBS
Contact information
Practice address
2415 WINSLOW PARK CIR, MEDFORD, OR 97504-4925
(541) 816-5482
Mailing address
2415 WINSLOW PARK CIR, MEDFORD, OR 97504-4925
(541) 816-5482
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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