Janessa Cynthia Lucille Moore, NCPT

NPI #1871142018 in Anchorage, Alaska

Provider Information

NPI Number: 1871142018
Entity Type: Individual
Name: Janessa Cynthia Lucille Moore, NCPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Phlebology
Credential: NCPT
Enumeration Date: Sep 10, 2019
Last Updated: Sep 10, 2019

Practice Location

Address: 7962 RESURRECTION DR
City: Anchorage
State: Alaska
ZIP Code: 99504-4729
Phone: (907) 205-9435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Phlebology	202K00000X	Primary

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