Provider Demographics
NPI:1962035949
Name:MOLINA, BESSY C
Entity type:Individual
Prefix:MS
First Name:BESSY
Middle Name:C
Last Name:MOLINA
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 1:1725 LANIER PL NW APT 26D
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2952
Mailing Address - Country:US
Mailing Address - Phone:202-247-8000
Mailing Address - Fax:
Practice Address - Street 1:1725 LANIER PL NW APT 26D
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2952
Practice Address - Country:US
Practice Address - Phone:202-247-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant