Andrea Michelle Molloy LMP

NPI 1720270705 - Massage Therapist - 225700000X

NPI Details
NPI 1720270705
Gender Female
Enumeration Date 08/14/2007
Last Updated 09/28/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
4103 BRIDGEPORT WAY W.
STE C
UNIVERSITY PLACE WA, 98466, US
Phone (253) 460-1824
Fax (253) 460-1920
Business Location
4103 BRIDGEPORT WAY W.
STE C
UNIVERSITY PLACE WA, 98466, US
Phone (253) 460-1824
Fax (253) 460-1920
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA00022591
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According to our database, Mrs. Andrea Michelle Molloy LMP NPI is 1720270705, taxonomy code is 225700000X and license number is MA00022591, license state is located at Washington. Andrea Michelle Molloy LMP physically located at 4103 Bridgeport Way W., University Place WA, 98466. NPI Number Andrea Michelle Molloy LMP has the Individual type.

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1720270705 NPI number is provided on an as is basis without warranty of any kind. 1720270705 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Michelle Molloy LMP are for informational purposes only.