Provider Demographics
NPI:1548593619
Name:MOLINA CLEMEN, CLAUDIA B
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:B
Last Name:MOLINA CLEMEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-2519
Mailing Address - Country:US
Mailing Address - Phone:360-852-1660
Mailing Address - Fax:
Practice Address - Street 1:1016 E 57TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-2519
Practice Address - Country:US
Practice Address - Phone:360-852-1660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC56814171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter