Individual
LAUREN MOLIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 2ND AVE W, WILLISTON, ND 58801-4108
(701) 572-6766
Mailing address
5236 134TH AVE NW, WILLISTON, ND 58801-8807
(610) 787-0942
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1273A
ND
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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