MR. Christopher Shawn Molloy

NPI #1295715316 in Portsmouth, Virginia

Provider Information

NPI Number: 1295715316
Entity Type: Individual
Name: MR. Christopher Shawn Molloy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4000 COAST GUARD BLVD
City: Portsmouth
State: Virginia
ZIP Code: 23703-2135
Phone: (757) 483-8596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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