Individual
ANDREW JONATHAN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
603 E 8TH ST, SUITE D, PORT ANGELES, WA 98362-6251
(360) 452-2934
Mailing address
303 W BLUFF DR, PORT ANGELES, WA 98362-9545
(360) 477-9235
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60238191
WA
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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