Healthcare Provider Details

I. General information

NPI: 1407773294
Provider Name (Legal Business Name): MOLLY'S ANGELS OF NAPA VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 SOSCOL AVE STE A100
NAPA CA
94559-4089
US

IV. Provider business mailing address

433 SOSCOL AVE STE A100
NAPA CA
94559-4089
US

V. Phone/Fax

Practice location:
  • Phone: 707-224-8971
  • Fax: 707-224-3701
Mailing address:
  • Phone: 707-224-8971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: DEVEREAUX SMITH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 707-224-8971