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Individual
MISS ALYSSA ELIZABETH MOORE WICKNICK
Active
Individual
MISS ALYSSA ELIZABETH MOORE WICKNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
DO.OP.70119031
WA
2084N0400X
Neurology Physician
Primary
DO220263
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
07/23/2026
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