Molled Travel Vaccines, Pllc

NPI #1619488103 in Surprise, Arizona

Provider Information

NPI Number: 1619488103
Entity Type: Organization
Organization Name: Molled Travel Vaccines, Pllc
Primary Specialty: Community Health Worker
Enumeration Date: Oct 24, 2017
Last Updated: Aug 3, 2022

Practice Location

Address: 14985 W. BELL ROAD
Address 2: BUILDING 12-A #100
City: Surprise
State: Arizona
ZIP Code: 85374-3231
Phone: (877) 358-8648

Authorized Official

Name: MR. PAUL FISHBURN
Title: CHIEF OPERATING OFFICER
Phone: (480) 646-9020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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