IRIDA MOLLA

WATERBURY, CT
NPI1861704181
Former NameIRIDA HASALLA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: CT  56841)
Additional Taxonomies207RI0200X Internal Medicine, Infectious Disease
(Licence: KY  48240)
207R00000X Internal Medicine
(Licence: KY  48240)
Enumeration Date2010-07-02
Last Update Date2018-04-06
Business Address
IRIDA MOLLA MD
140 GRANDVIEW AVE
WATERBURY, CT 06708-2505
Phone number: 203-574-4187
Mailing Address
IRIDA MOLLA MD
793 EASTERN BYP SUITE 201
RICHMOND, KY 40475-2422
Phone number: 859-624-6560