Individual
DENICE MOLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7063 ENFIELD DR, MENTOR, OH 44060-5160
(440) 487-8970
Mailing address
7063 ENFIELD DR, MENTOR, OH 44060-5160
(440) 487-8970
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4303195
—
OH
Enumeration date
09/10/2020
Last updated
09/10/2020
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