Individual
MRS. ANDREA MICHELLE MOLLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4103 BRIDGEPORT WAY W., STE C, UNIVERSITY PLACE, WA 98466
(253) 460-1824
(253) 460-1920
Mailing address
4103 BRIDGEPORT WAY W., STE C, UNIVERSITY PLACE, WA 98466
(253) 460-1824
(253) 460-1920
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022591
WA
Other
Enumeration date
08/14/2007
Last updated
09/28/2011
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