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Individual
JESSICA MOURA
Active
Individual
JESSICA MOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
60537083
WA
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
9674
FL
Other
Enumeration date
09/04/2013
Last updated
04/26/2020
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