Individual
MOLLY BOOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GREG KRUSCHEK AVENUE, NOME, AK 99762-9976
(907) 443-3311
(907) 443-4594
Mailing address
88 PIIKOI ST APT 2302, HONOLULU, HI 96814-4279
(562) 483-3267
(907) 443-4594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160471
AK
207Q00000X
Family Medicine Physician
19985
HI
207Q00000X
Family Medicine Physician
A167580
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
04/09/2025
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