Organization
SIMPLY MOLLI AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WONG NP (NURSE PRACTITIONER)
(520) 236-3884
Entity
Organization
Contact information
Practice address
3031 E INDIAN SCHOOL RD, PHOENIX, AZ 85016-6848
(520) 236-3884
Mailing address
3031 E INDIAN SCHOOL RD STE 12, PHOENIX, AZ 85016-6848
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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