| NPI Details | |
|---|---|
| NPI | 1679960082 |
| Gender | Female |
| Enumeration Date | 04/23/2015 |
| Last Updated | 04/23/2015 |
| Entity Type | Individual |
| Active | Over 2 years ago |
| Practice Location | |
|---|---|
| 5455 ALMIRA DR NE BREMERTON WA, 98311-8330, US |
|
| Phone | (360) 415-5866 |
| Fax | |
| Business Location | |
|---|---|
| 5455 ALMIRA DR NE BREMERTON WA, 98311-8330, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101Y00000X |
| License State | Washington |
| License Number | CG60515113 |
| Remove 1679960082 NPI Number | |
According to our database, Virginia Moore NPI is 1679960082, taxonomy code is 101Y00000X and license number is CG60515113, license state is located at Washington. Virginia Moore physically located at 5455 Almira Dr Ne, Bremerton WA, 98311-8330. NPI Number Virginia Moore has the Individual type.
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1679960082 NPI number is provided on an as is basis without warranty of any kind. 1679960082 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Moore are for informational purposes only.
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