Individual provider · Type 1 NPI
Molly Marie Pedraza
Diagnostic Ultrasound Physician · Tacoma, WA
NPI number
1376189829
Active
Practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Mailing address
6075 Townes Way
Columbus, GA 31909-6043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Ultrasound Physician Primary | 2085U0001X | 154672 (GA) |
Diagnostic Ultrasound Physician: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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About NPI 1376189829
Molly Marie Pedraza's National Provider Identifier is 1376189829, issued on Nov 20, 2019. The primary taxonomy on file is Diagnostic Ultrasound Physician (2085U0001X), and the practice location is in Tacoma, WA. The record was last updated on Nov 20, 2019.