DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOLLIE PROVOLT

Active Sole Proprietor

Community Health Worker · ANDERSON, CA

Registration Details

NPI Number
1043030877
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2024 (1.5770710695694 yrs)
Last Updated
Oct 16, 2024
Sole Proprietor
Yes

Practice Information

Address
1901 BARNEY RD.
ANDERSON, CA, 96007
Browse CA providers · Browse ZIP 96007
Phone
5306658402
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in ANDERSON, CA

Name Credential NPI
TRAVIS DANIEL MANN 1558189647
MEGAN L CAMPBELL 1174341663
JESSIE TEREA LOVELY 1548088933
SABRINA OLSON 1437974318
BRANDY BRYANT 1336964626
CODY WILLIAM DEWOODY 1801691902
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.