Individual
LICETH MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 PROFESSIONAL BLVD, DALTON, GA 30720-2536
(706) 279-9600
(706) 281-2364
Mailing address
1600 MOCKINGBIRD HL, DALTON, GA 30720-4352
(706) 279-9600
(706) 281-2364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN288717
GA
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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