Molly Koczarski

NPI #1821407081 in Spanaway, Washington

Provider Information

NPI Number: 1821407081
Entity Type: Organization
Organization Name: Molly Koczarski
Primary Specialty: Clinic/Center - Military Ambulatory Procedure Visits Operational (Transportable)
Enumeration Date: Aug 12, 2014
Last Updated: Aug 12, 2014

Practice Location

Address: 18811 19TH AVENUE CT E
City: Spanaway
State: Washington
ZIP Code: 98387-4136
Phone: (360) 580-5423

Authorized Official

Name: MOLLY KOCZARSKI, RD
Title: REGISTERED DIETITIAN
Phone: (360) 580-5423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military Ambulatory Procedure Visits Operational (Transportable) — Military Ambulatory Procedure Visits Operational (Transportable)	261QM1103X	Primary

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