Healthcare Provider Details
I. General information
NPI: 1629954466
Provider Name (Legal Business Name): MOLLY JEAN ESPERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 28TH ST
BAKERSFIELD CA
93301-1924
US
IV. Provider business mailing address
2821 H ST
BAKERSFIELD CA
93301-1913
US
V. Phone/Fax
- Phone: 661-868-7550
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 373H00000X |
| Taxonomy | Day Training/Habilitation Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: