Individual
CESSERIE SAMANTHA MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-9843
(253) 966-9818
Mailing address
17511 75TH AVENUE CT E, PUYALLUP, WA 98375-2536
(913) 217-0998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
01/27/2021
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