Jacki L Moon, LMT
NPI #1629273008 in Lake Stevens, Washington
Provider Information
- NPI Number
- 1629273008
- Entity Type
- Individual
- Name
- Jacki L Moon, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMT
- Enumeration Date
- Jun 18, 2007
- Last Updated
- Feb 2, 2021
Practice Location
- Address
- 10519 20TH ST. SE
- Address 2
- SUITE # 1
- City
- Lake Stevens
- State
- Washington
- ZIP Code
- 98258
- Phone
- (425) 397-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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