MRS. Jessica Marie Moore, LMP

NPI #1972877611 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1972877611
Entity Type: Individual
Name: MRS. Jessica Marie Moore, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Feb 27, 2012
Last Updated: Feb 27, 2012

Practice Location

Address: 5744 N 12TH ST
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98433-1174
Phone: (253) 973-8943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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