Individual
FRIDAH MUTHONI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9330 59TH ST AVE SW, LAKEWOOD, WA 98499
(253) 581-7020
Mailing address
9330 59TH ST AVE SW, LAKEWOOD, WA 98499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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