Individual
DEBRA MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
728 W RAILROAD AVE, SHELTON, WA 98584-3808
(360) 432-0416
(360) 427-3168
Mailing address
2250 W SHELTON VALLEY RD, SHELTON, WA 98584-8756
(360) 432-0416
(360) 427-3168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017864
WA
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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