Individual
JESSICA ANGEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 W MAIN ST, BATTLE GROUND, WA 98604
(360) 687-4092
Mailing address
2108 W MAIN ST, BATTLE GROUND, WA 98604-9143
(360) 687-4092
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
MOOREJA078ME
WA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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