Molly Street

NPI #1396106803 in Helenville, Wisconsin

Provider Information

NPI Number: 1396106803
Entity Type: Individual
Name: Molly Street
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 10, 2016
Last Updated: Mar 10, 2016

Practice Location

Address: N4422 COUNTY ROAD P
City: Helenville
State: Wisconsin
ZIP Code: 53137-9765
Phone: (920) 342-4190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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