Provider Demographics
NPI:1568552453
Name:ROBLES, MOLLY (DC)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:
Last Name:ROBLES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 ANO NUEVO AVE
Mailing Address - Street 2:APT 801
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4177
Mailing Address - Country:US
Mailing Address - Phone:408-746-0945
Mailing Address - Fax:
Practice Address - Street 1:10601 S DE ANZA BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-4451
Practice Address - Country:US
Practice Address - Phone:408-446-2800
Practice Address - Fax:408-446-2803
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30338111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor