Molly Mahan, LMP

NPI #1063835841 in Port Angeles, Washington

Provider Information

NPI Number: 1063835841
Entity Type: Individual
Name: Molly Mahan, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: LMP
Enumeration Date: Jan 29, 2014
Last Updated: Jan 29, 2014

Practice Location

Address: 430 E LAURIDSEN BLVD STE 113
City: Port Angeles
State: Washington
ZIP Code: 98362-7978
Phone: (360) 457-7576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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