Individual
MS. TAMARA LYNN MOLLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 WILLIBY AVE, EMPORIA, KS 66801-5759
(620) 342-0072
(620) 342-0072
Mailing address
1529 WILLIBY AVE, EMPORIA, KS 66801-5759
(620) 342-0072
(620) 342-0072
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/09/2007
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