Individual
MOLLY EDITH DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10321 N 2274 RD, CLINTON, OK 73601-7521
(508) 333-4362
Mailing address
10321 N 2274 RD, CLINTON, OK 73601-7521
(508) 333-4362
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN2289762
MA
Other
Enumeration date
04/09/2014
Last updated
11/02/2016
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