Individual
MOLLY IRELAND GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 SHAFFER RD STE 1A, SANTA CRUZ, CA 95060-5761
(831) 420-0120
Mailing address
1201 SHAFFER RD STE 1A, SANTA CRUZ, CA 95060-5761
(831) 420-0120
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
04/01/2025
Last updated
04/24/2025
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