Individual
MOLLY ROSE MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3911 CASTLEVALE RD STE 301, YAKIMA, WA 98902-7807
(509) 966-7899
Mailing address
24 GILBERT DR, MANCHESTER, ME 04351-3040
(319) 541-1609
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61605821
WA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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