Individual
MOLLY WATERWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SW 16TH ST., POMPANO BEACH, FL 33060
(954) 254-8706
Mailing address
200 SW 16TH ST, POMPANO BEACH, FL 33060-9123
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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