Individual
MOLLI MOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 185TH ST W STE 100, LAKEVILLE, MN 55044-6696
(904) 868-6039
Mailing address
23310 MAIN ST APT 3, HAMPTON, MN 55031-8783
(904) 868-6039
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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