Individual
MISS LAUREN MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 S MELROSE DR APT 28, VISTA, CA 92081-7450
(517) 512-3054
Mailing address
1510 S MELROSE DR APT 28, VISTA, CA 92081-7450
(517) 512-3054
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
Y3444133
CA
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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