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MOLLY ANDERSON

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1205013612

Individual Registrant:
 MOLLY  ANDERSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
250 BON AIR RD  GREENBRAE, CA 94904-1702 US
Tel: 415-499-6835  Fax: --

Contact information for business:
250 BON AIR RD  GREENBRAE, CA 94904-1702 US
Tel: --  Fax: --

Registration Information:
NPI: 1205013612
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
CA17802

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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