Individual
JO A MOLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3446 SCOTSDALE DR, SPRINGFIELD, OH 45504-4215
(937) 342-1279
Mailing address
3446 SCOTSDALE DR, SPRINGFIELD, OH 45504-4215
(937) 342-1279
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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