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Individual

CLARENCE H MOSES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 396-5290
Mailing address
19702 99TH STREET CT E, BONNEY LAKE, WA 98391-5948
(523) 396-5290

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/30/2023
Last updated
11/30/2023
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