Mack, Molly

Mack, Molly is an individual health care provider with primary practice located at 1416 El Centro St , South Pasadena CA 91030-3202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Mack, Molly can be contacted via phone (626) 577-2229.

Contact Information

Primary practice address
1416 El Centro St South Pasadena CA 91030-3202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 95007144 California

Profile Details

NPI number 1952828915
LBN Legal business name Mack, Molly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2017
Last updated Oct 31st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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