MEDICARE: MRS. JADE MOLINA CBD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		CA

General Provider Information

NPI Number	:	1811835978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JADE MOLINA CBD

Provider Business Mailing Address
First Line	:	1359 CHARTER CT
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455-6619
Country	:	US
Telephone Number	:	805-975-5760
Fax Number	:

Provider Business Practice Location Address
First Line	:	1359 CHARTER CT
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455-6619
Country	:	US
Telephone Number	:	805-975-5760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ MRS. JADE MOLINA CBD” Practice Location

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