Jesse Kincaid Moore
NPI #1649750613 in Gig Harbor, Washington
Provider Information
- NPI Number
- 1649750613
- Entity Type
- Individual
- Name
- Jesse Kincaid Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 18, 2018
- Last Updated
- Aug 18, 2018
Practice Location
- Address
- 4340 BORGEN BLVD
- City
- Gig Harbor
- State
- Washington
- ZIP Code
- 98332-7000
- Phone
- (253) 313-0704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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