Individual
CAROLINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2261
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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