Soncea Rae Moore, L.M.P.

NPI #1538312301 in Washougal, Washington

Provider Information

NPI Number: 1538312301
Entity Type: Individual
Name: Soncea Rae Moore, L.M.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.P.
Enumeration Date: Oct 24, 2008
Last Updated: Nov 3, 2008

Practice Location

Address: 2900 H STREET APT 16
City: Washougal
State: Washington
ZIP Code: 98671
Phone: (360) 335-8007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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