Individual
SAMANTHA MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
5687 W SUNKIST DR, SALT LAKE CITY, UT 84118-7949
(801) 708-9131
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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