Individual
VANESSA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 WEST MASSINGALE ROAD, TUCSON, AZ 85741
(602) 478-5850
Mailing address
P.O. BOX 68589, C/O POWER PRO SYSTEMS, TUCSON, AZ 85737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP7343
AZ
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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