Individual
RACHEL MOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 VAN BUREN DR, VIRGINIA BEACH, VA 23452-3145
(757) 648-4120
Mailing address
4116 EASTHAM RD, VIRGINIA BEACH, VA 23453-5307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008274
VA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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