Individual
BRIDGET MOLYNEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13198 CENTERPOINTE WAY, SUITE 102, WOODBRIDGE, VA 22193-5285
(703) 580-5696
(703) 580-5697
Mailing address
4318 KENTLAND DR, WOODBRIDGE, VA 22193-5272
(703) 878-6920
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
HCO-12728
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972800159
HOME HEALTHCARE AGENCY
VA
Enumeration date
07/29/2014
Last updated
07/29/2014
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