Individual
MISS ELLE MICHELE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
525 SUNRISE DR, LYNDEN, WA 98264-9350
(360) 441-1572
Mailing address
525 SUNRISE DR, LYNDEN, WA 98264-9350
(360) 441-1572
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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