Amy Jewel Moorhead LMP

NPI 1093872772 - Specialist - 174400000X

NPI Details
NPI 1093872772
Gender Female
Enumeration Date 01/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3636 NW BYRON ST
SUITE 102
SILVERDALE WA, 98383-8541, US
Phone (360) 698-0494
Fax
Business Location
3636 NW BYRON ST
SUITE 102
SILVERDALE WA, 98383-8541, US
Phone (360) 698-0494
Fax
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number MA00017238
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According to our database, Amy Jewel Moorhead LMP NPI is 1093872772, taxonomy code is 174400000X and license number is MA00017238, license state is located at Washington. Amy Jewel Moorhead LMP physically located at 3636 Nw Byron St, Silverdale WA, 98383-8541. NPI Number Amy Jewel Moorhead LMP has the Individual type.

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1093872772 NPI number is provided on an as is basis without warranty of any kind. 1093872772 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Jewel Moorhead LMP are for informational purposes only.