Individual
MRS. HEIDI SUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
13624 254TH AVE SE, MONROE, WA 98272-7212
(425) 478-2382
Mailing address
13624 254TH AVE SE, MONROE, WA 98272-7212
(425) 478-2382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024871
WA
Other
Enumeration date
02/06/2008
Last updated
05/12/2010
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