Individual
MRS. MARIA PRECIOSA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(360) 334-2636
Mailing address
2805 NW ALPINE LN, CAMAS, WA 98607-9301
(360) 334-2636
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PH 00016404
WA
1835P2201X
Ambulatory Care Pharmacist
RPH-0008233
OR
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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