NPI | 1053843383 |
---|---|
Former Name | PAUL RICHARD MOLLARD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95105915) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201509485RN) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2017-03-27 |