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Jessica Marie Moore, LMP

Massage Therapist in Joint Base Lewis McChord, WA. Individual provider (NPI-1).

NPI number1972877611
StatusActive
Last updated in NPPESFeb 27, 2012

Details

NPI
1972877611
Entity type
Individual (NPI-1)
Name
Mrs. Jessica Marie Moore
Credential
LMP
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 27, 2012
Last updated
Feb 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA60240933WAYes

Practice location

5744 N 12th St
Joint Base Lewis McChord, WA 98433-1174

Phone 253-973-8943

Mailing address

5744 N 12th St
Joint Base Lewis McChord, WA 98433-1174

Phone 253-973-8943

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