Janessa Cynthia Lucille Moore, NCPT
Phlebology in Anchorage, AK. Individual provider (NPI-1).
NPI number1871142018
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1871142018
- Entity type
- Individual (NPI-1)
- Name
- Janessa Cynthia Lucille Moore
- Credential
- NCPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2019
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | 945987 | AK | Yes |
Practice location
7962 Resurrection DrAnchorage, AK 99504-4729
Phone 907-205-9435
Mailing address
7962 Resurrection DrAnchorage, AK 99504-4729
Phone 907-205-9435
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