Individual
MARISSA MARIE MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 RAINBOW CITY CIRCLE, BYLAS, AZ 85530
(928) 475-4076
Mailing address
PO BOX 78, PERIDOT, AZ 85542-0078
(928) 475-4323
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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