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Individual

MS. MOLLY ENDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAC

Contact information

Practice address
24300 CHAGRIN BLVD STE 107, BEACHWOOD, OH 44122-5629
(216) 973-7289
(216) 342-7077
Mailing address
2359 EDGERTON RD, UNIVERSITY HTS, OH 44118-3736
(216) 973-7289

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
65.000140
OH
171100000X
Acupuncturist
Primary
66.000026
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0278777
OH
Enumeration date
06/19/2009
Last updated
03/18/2020
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