Individual
MOLLY RENEE DEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 DORMITORY ROW W, UNIVERSITY, MS 38677
(662) 915-7211
Mailing address
4928 COYLE AVE, SKOKIE, IL 60077-3514
(773) 931-3118
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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