Individual
KIMBERLY DAWN MOORE-SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
8400 S KYRENE RD STE 126, TEMPE, AZ 85284-2172
(480) 442-8491
Mailing address
8400 S KYRENE RD STE 126, TEMPE, AZ 85284-2172
(480) 442-8491
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-30175
AZ
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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