Individual
TSUBASA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ROOD AVE, GRAND JUNCTION, CO 81501-7819
(970) 241-2278
(970) 241-9277
Mailing address
200 ROOD AVE, GRAND JUNCTION, CO 81501-7819
(970) 241-2278
(970) 241-9277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18923
CO
Other
Enumeration date
02/04/2017
Last updated
02/04/2017
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