Raven Moore, MSAC

NPI #1053986802 in Oak Park, Illinois

Provider Information

NPI Number: 1053986802
Entity Type: Individual
Name: Raven Moore, MSAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: MSAC
Enumeration Date: May 24, 2021
Last Updated: May 24, 2021

Practice Location

Address: 147 HARRISON ST
City: Oak Park
State: Illinois
ZIP Code: 60304-1679
Phone: (708) 400-5574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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