Individual
MS. STEPHANIE ELLEN MOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
1603 SO. 389TH AVE., TONOPAH, AZ 85354
(623) 393-8325
(623) 327-1903
Mailing address
PO BOX 714, TONOPAH, AZ 85354-0714
(623) 393-8325
(623) 327-1903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Enumeration date
05/17/2007
Last updated
07/26/2007
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