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Individual

JUSTIN THOMAS MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
503 E 26TH ST, TACOMA, WA 98421-1343
(253) 881-7001
Mailing address
503 E 26TH ST, TACOMA, WA 98421-1343
(253) 881-7001

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61668130
WA

Other

Enumeration date
03/29/2025
Last updated
03/29/2025
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