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NPI Code Detail

MEDICARE: MOLLY HUSTED GLASER

MEDICARE: MOLLY HUSTED GLASER
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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1871085050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY HUSTED GLASER
Provider Business Mailing Address
First Line : 9637 JEFFERSON HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2632
Country : US
Telephone Number : 225-924-8314
Fax Number : 225-922-3774
Provider Business Practice Location Address
First Line : 9637 JEFFERSON HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2632
Country : US
Telephone Number : 225-924-8314
Fax Number : 225-922-3774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2018
Last Update Date : 06/04/2018

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