Provider Demographics
NPI:1053545384
Name:MOLANO, CLEMENCIA
Entity type:Individual
Prefix:
First Name:CLEMENCIA
Middle Name:
Last Name:MOLANO
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 1:1462 SEVEN PINES RD APT D2
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2158
Mailing Address - Country:US
Mailing Address - Phone:847-293-4663
Mailing Address - Fax:
Practice Address - Street 1:1462 SEVEN PINES RD APT D2
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2158
Practice Address - Country:US
Practice Address - Phone:847-293-4663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter