Individual
MRS. THERESE CONWAY MOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2322 E 22ND ST, CLEVELAND, OH 44115-3176
(216) 363-2691
(216) 694-4665
Mailing address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 363-2691
(216) 694-4665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000228
OH
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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