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Individual

REBEKAH MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CLC

Contact information

Practice address
19950 7TH AVE NE STE 102, POULSBO, WA 98370-7405
(360) 930-0218
(360) 930-8383
Mailing address
7175 E RAINTREE LN, PORT ORCHARD, WA 98366-7141
(615) 624-1694

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
339188
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
339188
THE ACADEMY OF LACTATION POLICY AND PRACTICE
WA
Enumeration date
06/27/2022
Last updated
06/27/2022
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