Individual
REBECCA MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
819 TYNDALL CT, DERBY, KS 67037-3563
(316) 208-9632
Mailing address
819 TYNDALL CT, DERBY, KS 67037-3563
(316) 208-9632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79013
KS
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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